Organization
TUSTIN SPEECH THERAPY, INC
Active
Parent organization
TUSTIN SPEECH THERAPY, INC
Other names
Tustin Speech Therapy, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUSTIN SPEECH THERAPY, INC
Authorized official
KYMRY FOWLER MS-CCC (PRESIDENT)
(714) 838-2853
Entity
Organization
Contact information
Practice address
661 W 1ST ST STE E, TUSTIN, CA 92780-2939
(714) 838-2853
Mailing address
661 W 1ST ST STE E, TUSTIN, CA 92780-2939
(714) 838-2853
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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