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FULL POTENTIAL SPEECH THERAPY CENTER INC NPI 1548729122


NPI Information

NPI: 1548729122
Provider Name: FULL POTENTIAL SPEECH THERAPY CENTER, INC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
44881 TROTSDALE DR
TEMECULA, CA
ZIP 92592
Phone: (951) 331-2154
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FULL POTENTIAL SPEECH THERAPY CENTER, INC is a speech language pathologist in Temecula, CA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. FULL POTENTIAL SPEECH THERAPY CENTER, INC NPI is 1548729122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44881 TROTSDALE DR
TEMECULA, CA
ZIP 92592-874
Phone: (951) 331-2154

The provider's authorized official is Sandra Gisonda .
The authorized official title is President and has the following contact phone number (949) 606-6487.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11578049094OTHERCALIFORNIANPI TYPE 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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