Organization
TIDESPEAK LANGUAGE & SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA TOTTY SISSON MCD, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(619) 289-7782
Entity
Organization
Contact information
Practice address
2808 VILLAS WAY, SAN DIEGO, CA 92108-6732
(619) 289-7782
Mailing address
2808 VILLAS WAY, SAN DIEGO, CA 92108-6732
(619) 289-7782
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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