Functional Speech Therapy Inc

Speech-Language Pathologist · Redlands, CA

Organization Active NPI

NPI number 1861172363

Practice location

340 Via Vista Dr
Redlands, CA 92373-7157
Phone
(949) 547-3909

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NPI record

NPI
1861172363
Entity type
Organization (Type 2)
Enumeration date
July 19, 2023
Last updated
July 19, 2023
Certified
July 19, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Authorized official

Name
Jordan Wright Gonzalez, MS. CCC-SLP
Title
CEO
Phone
(949) 547-3909

Other names

  • Functional Speech Therapy

About Functional Speech Therapy Inc

Functional Speech Therapy Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 340 Via Vista Dr, Redlands, CA 92373-7157. The NPI number 1861172363 was assigned on July 19, 2023 and the record was last updated on July 19, 2023.

The authorized official for this organization is Jordan Wright Gonzalez, MS. CCC-SLP, CEO.

Frequently asked questions

What is the NPI number of Functional Speech Therapy Inc?

The NPI number is 1861172363.

What is the phone number of Functional Speech Therapy Inc?

The phone number listed for the practice location is (949) 547-3909.

Where is Functional Speech Therapy Inc located?

340 Via Vista Dr, Redlands, CA 92373-7157.

What is the taxonomy code for Functional Speech Therapy Inc?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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