Healthcare Provider Details

I. General information

NPI: 1114857612
Provider Name (Legal Business Name): JCM SPEECH AND LANGUAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 ELKHORN LN
ESCONDIDO CA
92026-1343
US

IV. Provider business mailing address

430 ELKHORN LN
ESCONDIDO CA
92026-1343
US

V. Phone/Fax

Practice location:
  • Phone: 760-498-5738
  • Fax:
Mailing address:
  • Phone:
  • 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: DIAN MALONEY
Title or Position: OWNER
Credential:
Phone: 760-498-5738