Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Online Spech Therapy PC

Organization Speech-Language Pathologist · NPI 1093584914

Online Spech Therapy PC is a Speech-Language Pathologist in Imperial Beach, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1330 Connecticut St
Imperial Beach, CA 91932-3224
Phone: (417) 438-8931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1093584914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madison Blaylock — President · (417) 438-8931
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address1330 Connecticut St, Imperial Beach, CA 91932-3224

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