MISS MELISSA CHRISTINA MORENO-MATHERLY (NPI# 1194929893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194929893 |
| Entity Type | Individual |
| Full Name | MISS MELISSA CHRISTINA MORENO-MATHERLY |
| Credential | M.A. CCC |
| Practice Address |
1442 Brett Pl Unit 25 San Pedro CA 90732-5107 |
| Practice Telephone | 3108331972 |
| Practice Fax Number | 3106845480 |
| Mailing Telephone | 3108331972 |
| Mailing Fax Number | 3106845480 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13538 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1442 BRETT PL UNIT 25 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147862 | Michelle Litton | Speech-Language Pathologist | 1 Atlas Dr, San Pedro, CA 90732-4813 | 2020-05-29 |
| 1316300973 | Kersten Scanlon | Speech-Language Pathologist | 1336 W 13th St, San Pedro, CA 90732-3906 | 2016-03-31 |
| 1821490228 | Douglas Ehrenclou | Speech-Language Pathologist | 2275 W 25th St Spc 220, San Pedro, CA 90732-5413 | 2014-09-17 |
| 1659563690 | Janet Claire Steinberg | Speech-Language Pathologist | 663 W 27th St # 2, San Pedro, CA 90731-6505 | 2007-08-14 |
| 1619173002 | Adam Dishkin | Speech-Language Pathologist | 1538 Stonewood Ct, San Pedro, CA 90732-1545 | 2007-06-22 |
| 1033748744 | Jenna Nicole East | Speech-Language Pathologist | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427459 | Leigh Marian Pearce | Speech-Language Pathologist | 1208 Peninsula Dr, Chico, CA 95928-3827 | 2020-11-03 |
| 1225638844 | Nicci Michele Grayson | Speech-Language Pathologist | 2653 E Glenoaks Blvd, Glendale, CA 91206-3108 | 2020-11-01 |
| 1992305544 | Katrina Schickenberg | Speech-Language Pathologist | 715 Emeline Ave, Santa Cruz, CA 95060-1911 | 2020-10-31 |
| 1780284539 | Annalissa Ramos-garcia | Speech-Language Pathologist | 2575 33rd St Apt 4, Sacramento, CA 95817-1941 | 2020-10-30 |
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1932709953 | Lera A Chernov | Speech-Language Pathologist | 4243 Bonita Rd Apt 60, Bonita, CA 91902-1441 | 2020-10-28 |
| 1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
| 1407455330 | Tyonie Patterson | Speech-Language Pathologist | 7845 Stewart and Gray Rd Apt 12, Downey, CA 90241-4771 | 2020-10-21 |
| 1144829433 | Anne Mathew | Speech-Language Pathologist | 2262 N 1st St, San Jose, CA 95131-2022 | 2020-10-19 |
| 1972102259 | Cinthia Yong-joo Do | Speech-Language Pathologist | 6670 Alton Pkwy Bldg 1, Irvine, CA 92618-3734 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.