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CENTRAL COAST SPEECH PATHOLOGY AND OROFACIAL MYOLOGY NPI 1477906451


NPI Information

NPI: 1477906451
Provider Name: CENTRAL COAST SPEECH PATHOLOGY AND OROFACIAL MYOLOGY
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
210 TRAFFIC WAY
SUITE C
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 441-1055
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CENTRAL COAST SPEECH PATHOLOGY AND OROFACIAL MYOLOGY is a hearing and speech clinic center in Arroyo Grande, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. CENTRAL COAST SPEECH PATHOLOGY AND OROFACIAL MYOLOGY NPI is 1477906451. The provider is registered as an organization entity type.

The provider's business location address is:

210 TRAFFIC WAY
SUITE C
ARROYO GRANDE, CA
ZIP 93420-368
Phone: (805) 441-1055
Fax: (805) 904-6133

The provider's authorized official is Patricia J Grant .
The authorized official title is Owner/operator and has the following contact phone number (805) 441-1055.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.


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
1261QH0700XClinic/CenterHearing and SpeechS96072CALIFORNIAYes

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
11821083775OTHERCALIFORNIANPI

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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