Healthcare Provider Details

I. General information

NPI: 1578112793
Provider Name (Legal Business Name): SMALLTALK SPEECH & OCCUPATIONAL THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7862 EL CAJON BLVD STE 200
LA MESA CA
91942-6712
US

IV. Provider business mailing address

7862 EL CAJON BLVD STE 200
LA MESA CA
91942-6712
US

V. Phone/Fax

Practice location:
  • Phone: 619-647-6157
  • Fax: 858-997-2088
Mailing address:
  • Phone: 619-647-6157
  • Fax: 858-997-2088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER TRAINA
Title or Position: CEO
Credential: MS, CCC-SLP
Phone: 858-722-5720