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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