Organization
KIDSPEAK PEDIATRIC SPEECH AND LANGUAGE SERVICES, INC.
Active
Organization
KIDSPEAK PEDIATRIC SPEECH AND LANGUAGE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRE LYN ACOSTA M.A. CCC-SLP (OWNER)
(310) 930-2345
Entity
Organization
Contact information
Practice address
1447 DALMATIA DR, SAN PEDRO, CA 90732-1349
(310) 930-2345
Mailing address
1447 DALMATIA DR, SAN PEDRO, CA 90732-1349
(310) 930-2345
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SP9723
CA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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