Provider Demographics
NPI:1588410955
Name:FAMILY FIRST SPEECH THERAPY
Entity type:Organization
Organization Name:FAMILY FIRST SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SPEECH- LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KOLBY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KAIL
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP, COM
Authorized Official - Phone:760-274-3575
Mailing Address - Street 1:2624 EL CAMINO REAL STE B
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1250
Mailing Address - Country:US
Mailing Address - Phone:760-696-3456
Mailing Address - Fax:760-696-3458
Practice Address - Street 1:2624 EL CAMINO REAL STE B
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1250
Practice Address - Country:US
Practice Address - Phone:760-696-3456
Practice Address - Fax:760-696-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech