| At The Lake Speech Therapy Inc | |
|
9666 Businesspark Ave Ste 101 San Diego CA 92131-1646 | |
| (619) 884-1563 | |
| Not Available |
| Full Name | At The Lake Speech Therapy Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 9666 Businesspark Ave Ste 101, San Diego, California |
| Authorized Official Name and Position | Janell Christiansen (OWNER, CCC-SLP) |
| Authorized Official Contact | 6198841563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At The Lake Speech Therapy Inc 9666 Businesspark Ave Ste 101 San Diego CA 92131-1646 Ph: (619) 884-1563 | At The Lake Speech Therapy Inc 9666 Businesspark Ave Ste 101 San Diego CA 92131-1646 Ph: (619) 884-1563 |
| NPI Number | 1770266777 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770266777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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