Provider Demographics
NPI:1730814914
Name:PEAK SPEECH & LANGUAGE THERAPY, INC
Entity type:Organization
Organization Name:PEAK SPEECH & LANGUAGE THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEYANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-562-4925
Mailing Address - Street 1:35653 RUTH AVE
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-9003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35653 RUTH AVE
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-9003
Practice Address - Country:US
Practice Address - Phone:951-223-1817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty