MEDICARE: SPEECHLINK OC, SPEECH-LANGUAGE PATHOLOGY, 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	:	1891665071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECHLINK OC, SPEECH-LANGUAGE PATHOLOGY, INC.

Provider Business Mailing Address
First Line	:	18017 SKY PARK CIR STE G
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6578
Country	:	US
Telephone Number	:	949-336-6659
Fax Number	:	949-737-1777

Provider Business Practice Location Address
First Line	:	18017 SKY PARK CIR STE G
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6578
Country	:	US
Telephone Number	:	949-336-6659
Fax Number	:	949-737-1777

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	CHANDLER DOTSON
Credential	:	CCC-SLP
Telephone Number	:	912-663-2410

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	06/01/2026

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