Organization
COLLAB PEDIATRIC CLINIC, A SPEECH THERAPY CORPORATION
Active
Other names
Collab Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WU CCC-SLP (CO-OWNER)
(626) 739-8775
Entity
Organization
Contact information
Practice address
3252 GABRIELLA ST, WEST COVINA, CA 91792-2101
(626) 252-0941
Mailing address
3252 GABRIELLA ST, WEST COVINA, CA 91792-2101
(626) 252-0941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
08/30/2022
Last updated
01/14/2024
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