Koala Bilingual Speech Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KOALA BILINGUAL SPEECH THERAPY, INC.

Practice address

30161 Pacific Island Dr Apt 125
Laguna Niguel, CA 92677-6307

Phone

(202) 779-3771

NPI assigned

Apr 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deanne Wayt, MA, CCC-SLPNPI 1194036319

Title

Speech-Language Pathologist

Phone

(202) 779-3771

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanne Wayt, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Laguna Niguel, CA
  • NPI 1194036319
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1962031302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD UNIT 6512",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072421",
            "telephone_number": "949-393-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30161 PACIFIC ISLAND DR APT 125",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926776307",
            "telephone_number": "202-779-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA BILINGUAL SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "WAYT",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "202-779-3771",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KKN Pharmacy Corporation
• Lorrie J Klein, M.D.
• Marti Lynn Klein
• Edyta Klimek, O.D.
• Edward D Klinicke
• Aaron Koba, LMFT
• Ellen Rosemary Koci, RN, BSN
• Nancy Ellen Koehler, PA-C
• Kunyoung Koh
• Amitpal Singh Kohli, M.D.

• Speech-Language Pathologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.