Organization · NPI-2
Just Kids Learning Center
Speech-Language Pathologist, · San Francisco, CA
NPI number1407038110
StatusActive
Last updated in NPPESApr 1, 2009
Details
- NPI
- 1407038110
- Entity type
- Organization (NPI-2)
- Legal business name
- Just Kids Learning Center
- Organization subpart
- No
- Enumeration date
- Dec 4, 2007
- Last updated
- Apr 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP12079 | CA | Yes |
| 252Y00000X | Early Intervention Provider Agency | SP12079 | CA |
Practice location
2722 Gough StSan Francisco, CA 94123-4405
Phone 415-775-5511 · Fax 415-775-5521
Mailing address
2722 Gough StSan Francisco, CA 94123-4405
Phone 415-775-5511 · Fax 415-775-5521
Authorized official
Jennifer A Lopez
Director
4157755511
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