Kyle Wade, M.S., CCC-SLP
Speech-Language Pathologist, in La Jolla, CA. Individual provider (NPI-1).
NPI number1831735232
StatusActive
Last updated in NPPESNov 20, 2019
Details
- NPI
- 1831735232
- Entity type
- Individual (NPI-1)
- Name
- Kyle Wade
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2019
- Last updated
- Nov 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 10747 | CA | Yes |
Practice location
9888 Genesee AveLa Jolla, CA 92037-1205
Phone 858-626-4444 · Fax 858-626-6560
Mailing address
10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705
Phone 858-626-4444
Other practice locations
9888 Genesee Ave
La Jolla, CA 92037-1205
La Jolla, CA 92037-1205
Phone 858-626-4444 · Fax 858-626-6560
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Speech-Language Pathologist providers in La Jolla · All 4,301 providers in La Jolla
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