Healthcare Provider Details

I. General information

NPI: 1720925076
Provider Name (Legal Business Name): COLIBRI COMMUNICATION AND SPEECH THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 LAKERIDGE CIR UNIT 102
CHULA VISTA CA
91913-2347
US

IV. Provider business mailing address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 619-887-1685
  • Fax:
Mailing address:
  • Phone: 619-887-1685
  • Fax:

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: ANNA CECILIA OLEGINE
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC
Phone: 619-887-1685