Organization
AT THE LAKE SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL CHRISTIANSEN (OWNER, CCC-SLP)
(619) 884-1563
Entity
Organization
Contact information
Practice address
9666 BUSINESSPARK AVE STE 101, SAN DIEGO, CA 92131-1646
(619) 884-1563
Mailing address
9666 BUSINESSPARK AVE STE 101, SAN DIEGO, CA 92131-1646
(619) 884-1563
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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