Organization
SPEECH THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ROUSE MA CCC, SLP (OWNER)
(209) 334-0830
Entity
Organization
Contact information
Practice address
1200 W TOKAY ST, LODI, CA 95240-3810
(209) 334-0830
Mailing address
1200 W TOKAY ST, LODI, CA 95240-3810
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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