Provider Demographics
NPI:1316577554
Name:SPEECH POINT THERAPY INC.
Entity Type:Organization
Organization Name:SPEECH POINT THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAULIN
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP, BCBA
Authorized Official - Phone:949-873-3950
Mailing Address - Street 1:212 TECHNOLOGY DR STE A
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2418
Mailing Address - Country:US
Mailing Address - Phone:949-873-3950
Mailing Address - Fax:
Practice Address - Street 1:212 TECHNOLOGY DR STE A
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2418
Practice Address - Country:US
Practice Address - Phone:949-873-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty