Organization
AG SPEECH THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ROCHELLE GOTELLI M.A., CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(916) 542-0083
Entity
Organization
Contact information
Practice address
10525 SKYNYRD WAY, STOCKTON, CA 95212-2162
(916) 542-0083
Mailing address
10525 SKYNYRD WAY, STOCKTON, CA 95212-2162
(916) 542-0083
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
04/29/2024
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