Provider Demographics
NPI:1598357758
Name:KIDSPEAK SPEECH-LANGUAGE THERAPY SERVICES INC
Entity Type:Organization
Organization Name:KIDSPEAK SPEECH-LANGUAGE THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH - LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALEANO
Authorized Official - Suffix:
Authorized Official - Credentials:MA , MA ,CCC-SLP
Authorized Official - Phone:714-494-6252
Mailing Address - Street 1:700 E. BIRCH ST.
Mailing Address - Street 2:UNIT 1133
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822
Mailing Address - Country:US
Mailing Address - Phone:714-494-6252
Mailing Address - Fax:
Practice Address - Street 1:16782 VON KARMAN AVE STE 11
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-2417
Practice Address - Country:US
Practice Address - Phone:714-494-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty