Healthcare Provider Details

I. General information

NPI: 1265349658
Provider Name (Legal Business Name): EXCEL SPEECH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 OTAY LAKES RD STE 110
CHULA VISTA CA
91910-8904
US

IV. Provider business mailing address

690 OTAY LAKES RD STE 110
CHULA VISTA CA
91910-8904
US

V. Phone/Fax

Practice location:
  • Phone: 619-475-6910
  • Fax: 619-475-6911
Mailing address:
  • Phone: 619-475-6910
  • Fax: 619-475-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. KAITLYN NICOLE MARCH
Title or Position: SLP
Credential: MS
Phone: 909-993-4588