Organization
BOCA GRANDE SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA HAGERTY M.S. (CEO)
(602) 460-9524
Entity
Organization
Contact information
Practice address
883 BELDEN ST APT 4, MONTEREY, CA 93940-1168
(831) 275-0792
Mailing address
883 BELDEN ST APT 4, MONTEREY, CA 93940-1168
(831) 275-0792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP20818
CA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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