Organization
IVY LEAGUE SPEECH THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA EMMA TAVELLA M.A. CCC-SLP (CEO)
(516) 425-9897
Entity
Organization
Contact information
Practice address
309 CHERRY LN, MANTECA, CA 95337-4312
(516) 425-9897
Mailing address
309 CHERRY LN, MANTECA, CA 95337-4312
(516) 425-9897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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