Organization
FUNCTIONAL SPEECH THERAPY INC
Active
Other names
Functional Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WRIGHT GONZALEZ MS. CCC-SLP (CEO)
(949) 547-3909
Entity
Organization
Contact information
Practice address
340 VIA VISTA DR, REDLANDS, CA 92373-7157
(949) 547-3909
Mailing address
340 VIA VISTA DR, REDLANDS, CA 92373-7157
(949) 547-3909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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