Individual
JACQUELINE KREITER KOTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 362-3300
Mailing address
1516 AVENIDA LADERA, EL CAJON, CA 92020-1304
(619) 333-6927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11974
CA
Other
Enumeration date
08/05/2021
Last updated
01/21/2026
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