MEDICARE: VOCAL TRACK SPEECH & LANGUAGE THERAPY CENTER 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1427592815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOCAL TRACK SPEECH & LANGUAGE THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	16466 BERNARDO CENTER DR STE 116
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2529
Country	:	US
Telephone Number	:	858-521-8446
Fax Number	:

Provider Business Practice Location Address
First Line	:	16466 BERNARDO CENTER DR STE 116
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2529
Country	:	US
Telephone Number	:	858-521-8446
Fax Number	:

Authorized Official
Title or Position	:	SPEECH & LANGUAGE PATHOLOGIST
Name	:	MR. CHRISTIAN ANTHONY GRASSO
Credential	:	M.S., CCC
Telephone Number	:	858-521-8446

Provider Enumeration Date	:	12/05/2016
Last Update Date	:	11/10/2021

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