Organization
AUTHENTICITY SPEECH AND LANGUAGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARA L BASSIN MS, CCC-SLP (CEO)
(908) 672-6699
Entity
Organization
Contact information
Practice address
4452 37TH ST APT 5, SAN DIEGO, CA 92116-4663
(908) 672-6699
Mailing address
4452 37TH ST APT 5, SAN DIEGO, CA 92116-4663
(908) 672-6699
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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