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NPI Code Detail

MEDICARE: MONTEREY BAY SPEECH THERAPY, INC.

MEDICARE: MONTEREY BAY SPEECH THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist20007CA

General Provider Information

NPI Number : 1336638634
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTEREY BAY SPEECH THERAPY, INC.
Provider Business Mailing Address
First Line : 667 LIGHTHOUSE AVE STE 201
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-2666
Country : US
Telephone Number : 831-318-0558
Fax Number : 831-603-6061
Provider Business Practice Location Address
First Line : 667 LIGHTHOUSE AVE STE 201
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-2666
Country : US
Telephone Number : 831-318-0558
Fax Number : 831-603-6061
Authorized Official
Title or Position : CFO
Name : MOLLY A HILL
Credential :
Telephone Number : 402-570-3182
Provider Enumeration Date : 05/02/2018
Last Update Date : 04/02/2026

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Directions to “MONTEREY BAY SPEECH THERAPY, INC. ” Practice Location

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