Healthcare Provider Details

I. General information

NPI: 1831094721
Provider Name (Legal Business Name): PLAY TO LEARN SPEECH AND LANGUAGE THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 W SAN MARCOS BLVD
SAN MARCOS CA
92069-5610
US

IV. Provider business mailing address

353 W SAN MARCOS BLVD
SAN MARCOS CA
92069-5610
US

V. Phone/Fax

Practice location:
  • Phone: 858-321-2016
  • Fax:
Mailing address:
  • Phone: 858-321-2016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADRIEN HARRISON
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.A.
Phone: 858-321-2016