Active NPI
Life Spirit Speech Pathology Inc
- Speech-Language Pathologist
- San Juan Capistrano, CA
National Provider Identifier
1679691703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14538
- Legal business name
- LIFE SPIRIT SPEECH PATHOLOGY INC
- Practice address
- 26284 Oso Rd
Suite 114
San Juan Capistrano, CA 92675-1629 - Phone
- (949) 842-9557
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri Hutchison, M.A., CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (949) 842-9557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14538 | CA | Primary |
Addresses
Primary practice location
26284 Oso Rd
Suite 114
San Juan Capistrano, CA 92675-1629
Mailing address
26284 Oso Rd
Suite 114
San Juan Capistrano, CA 92675-1629
Phone (949) 842-9557
National Provider Directory
National Provider DirectoryLocations
26284 Oso Rd
Ste 114
San Juan Capistrano, CA 92675
Phone (949) 735-7001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1679691703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26284 OSO RD",
"address_2": "SUITE 114",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751629",
"telephone_number": "949-842-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26284 OSO RD",
"address_2": "SUITE 114",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751629",
"telephone_number": "949-842-9557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SPIRIT SPEECH PATHOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "HUTCHISON",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "949-842-9557",
"authorized_official_credential": "M.A., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.