Provider Demographics
NPI:1154862878
Name:ALL ABOUT SPEECH
Entity Type:Organization
Organization Name:ALL ABOUT SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATHOLOGIST/MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:IRMA
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC SLP
Authorized Official - Phone:909-906-0016
Mailing Address - Street 1:8333 FOOTHILL BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3155
Mailing Address - Country:US
Mailing Address - Phone:909-906-0016
Mailing Address - Fax:909-944-7580
Practice Address - Street 1:8333 FOOTHILL BLVD STE 116
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3155
Practice Address - Country:US
Practice Address - Phone:909-906-0016
Practice Address - Fax:909-944-7580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 8524235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty