Organization
CHICO SPEECH AND LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KOKAL (OWNER)
(530) 894-0702
Entity
Organization
Contact information
Practice address
2627 FOREST AVE, CHICO, CA 95928-4384
(530) 894-0702
(530) 894-0905
Mailing address
2627 FOREST AVE, CHICO, CA 95928-4384
(530) 894-0702
(530) 894-0905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GSP000690
MEDI-CAL
CA
Enumeration date
09/24/2007
Last updated
07/21/2022
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