Healthcare Provider Details

I. General information

NPI: 1720334501
Provider Name (Legal Business Name): SPEECH TREE SPEECH THERAPY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 CAMINO DEL RIO S STE 308
SAN DIEGO CA
92108-3824
US

IV. Provider business mailing address

2820 CAMINO DEL RIO S STE 308
SAN DIEGO CA
92108-3824
US

V. Phone/Fax

Practice location:
  • Phone: 619-546-0039
  • Fax: 619-546-0037
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SARA MUNSTERMAN
Title or Position: CLINICAL DIRECTOR
Credential: M.S., CCC-SLP
Phone: 858-337-3541