Provider Demographics
NPI:1063384055
Name:ALTA SPEECH LANGUAGE PATHOLOGY & EDUCATIONAL ENRICHMENT, INC.
Entity type:Organization
Organization Name:ALTA SPEECH LANGUAGE PATHOLOGY & EDUCATIONAL ENRICHMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIANA
Authorized Official - Middle Name:RUIZ
Authorized Official - Last Name:DE SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:831-229-8147
Mailing Address - Street 1:2 WOODBURY CIR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-4477
Mailing Address - Country:US
Mailing Address - Phone:831-229-8147
Mailing Address - Fax:
Practice Address - Street 1:2 WOODBURY CIR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-4477
Practice Address - Country:US
Practice Address - Phone:831-229-8147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty