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General NPI Number Information
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NPI Number | 1669201588
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Entity Type | Organization
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Legal Business Name | INCLUSION SPEECH THERAPY, INC.
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Dates
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Enumeration Date | 07/30/2024
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 3066 PORTALS AVE
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City | CLOVIS
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State | CA
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Zip | 93619-9380
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Country | US
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Telephone | 559-779-6390
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Fax |
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Provider Business Mailing Address
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Address Line | 3066 PORTALS AVE
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City | CLOVIS
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State | CA
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Zip | 93619-9380
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Country | US
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Telephone | 559-779-6390
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELISSA BERTAO
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Credential | M.A.
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Telephone | 559-779-6390
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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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