Healthcare Provider Details
I. General information
NPI: 1619298791
Provider Name (Legal Business Name): SMALLTALK SPEECH AND OCCUPATIONAL THERAPIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2010
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7862 EL CAJON BLVD STE 200
LA MESA CA
91942
US
IV. Provider business mailing address
7862 EL CAJON BLVD STE 200
LA MESA CA
91942
US
V. Phone/Fax
- Phone: 619-647-6157
- Fax: 619-334-6548
- Phone: 619-647-6157
- Fax: 619-334-6548
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JENNIFER
TRAINA
Title or Position: CEO
Credential: MS, CCC-SLP
Phone: 619-647-6157