Provider Demographics
NPI:1922386309
Name:THE SPOKEN WORD SPEECH AND LANGUAGE SERVICES
Entity Type:Organization
Organization Name:THE SPOKEN WORD SPEECH AND LANGUAGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:949-322-7289
Mailing Address - Street 1:22891 CEDARSPRING
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-5438
Mailing Address - Country:US
Mailing Address - Phone:949-322-7289
Mailing Address - Fax:877-759-1795
Practice Address - Street 1:30151 AVENIDA DE LAS BANDERA
Practice Address - Street 2:SUITE 100
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2170
Practice Address - Country:US
Practice Address - Phone:949-322-7289
Practice Address - Fax:877-759-1795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11490235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty