Provider Demographics
NPI:1801651187
Name:LITTLE OLIVES SPEECH THERAPY, INC.
Entity type:Organization
Organization Name:LITTLE OLIVES SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DEYANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-579-8525
Mailing Address - Street 1:41185 GOLDEN GATE CIR STE 108
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6995
Mailing Address - Country:US
Mailing Address - Phone:951-579-8525
Mailing Address - Fax:
Practice Address - Street 1:41185 GOLDEN GATE CIR STE 108
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6995
Practice Address - Country:US
Practice Address - Phone:951-579-8525
Practice Address - Fax:951-468-8475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty