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General NPI Number Information
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NPI Number | 1093529711
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Entity Type | Organization
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Legal Business Name | THE SPEECH THERAPY COTTAGE CORP.
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 638 MAIN ST
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City | RAMONA
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State | CA
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Zip | 92065-2044
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Country | US
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Telephone | 858-869-3256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3779
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City | RAMONA
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State | CA
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Zip | 92065-0964
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Country | US
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Telephone | 858-869-3256
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMANDA LAUREN MCNAMARA
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Credential | CEO & MS, CCC-SLP
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Telephone | 858-869-3256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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