Healthcare Provider Details

I. General information

NPI: 1437065695
Provider Name (Legal Business Name): STAR SPEECH THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31577 CANYON ESTATES DRIVE SUITE 230
LAKE ELSINORE CA
92532
US

IV. Provider business mailing address

31577 CANYON ESTATES DRIVE SUITE 230
LAKE ELSINORE CA
92532
US

V. Phone/Fax

Practice location:
  • Phone: 951-226-4314
  • Fax: 951-462-5999
Mailing address:
  • Phone: 951-226-4314
  • Fax: 951-462-5999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NANCY STARLA AFFATATI
Title or Position: OWNER/PRESIDENT
Credential: M.S.,CCC-SLP
Phone: 951-226-4314