REBECCA VANDERVOLGEN (NPI# 1225486376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225486376 |
| Entity Type | Individual |
| Full Name | REBECCA VANDERVOLGEN |
| Credential | M.S., CCC-SLP |
| Practice Address |
3760 Convoy St Ste. 204 San Diego CA 92111-3742 |
| Practice Telephone | 8585140375 |
| Practice Fax Number | 8585140383 |
| Mailing Telephone | 8585140375 |
| Mailing Fax Number | 8585140383 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22188 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
3760 CONVOY ST STE. 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159001 | Dorian L Polson | Psychologist | 3760 Convoy St, Ste 118, San Diego, CA 92111-3742 | 2005-07-26 |
| 1790217479 | Jennifer Howard | Speech-Language Pathologist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2017-03-31 |
| 1629518204 | Therese Azkoul | Occupational Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2017-03-02 |
| 1245770866 | Carol Lieu | Physical Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2017-03-01 |
| 1619416245 | Denise Martinez | Physical Therapist | 3760 Convoy St, Suite 101, San Diego, CA 92111-3742 | 2017-02-15 |
| 1750826426 | Christine Gaw | Occupational Therapist | 3760 Convoy St, Ste 201, San Diego, CA 92111-3742 | 2017-01-04 |
| 1154866259 | Alyssa Zafuta | Physical Therapist | 3760 Convoy St, Suite 100, San Diego, CA 92111-3742 | 2016-12-27 |
| 1134670011 | Therapy Specialists | Physical Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2016-10-17 |
| 1477007961 | Cathy Mizunuma | Speech-Language Pathologist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2016-08-12 |
| 1982051074 | Laura Lynne Schulz | Occupational Therapist | 3760 Convoy St, San Diego, CA 92111-3742 | 2016-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| 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 |
|---|---|---|---|---|
| 1922605898 | Little Rose Speech Therapy, Inc. | Speech-Language Pathologist | 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 | 2020-10-05 |
| 1710594122 | Chelsea A Johnson | Speech-Language Pathologist | 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 | 2020-09-29 |
| 1770195083 | Emma Kotsher | Speech-Language Pathologist | 2081 Cable St, San Diego, CA 92107-2573 | 2020-08-18 |
| 1891310165 | Ingrid Wolfer Exerjian | Speech-Language Pathologist | 1844 Malden St, San Diego, CA 92109-2208 | 2020-06-12 |
| 1326663014 | Fernanda Manriquez | Speech-Language Pathologist | 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 | 2020-06-09 |
| 1588288567 | Samantha Sandler | Speech-Language Pathologist | 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 | 2020-06-04 |
| 1225652910 | Laura L Kishaba | Speech-Language Pathologist | 13343 Samantha Ave, San Diego, CA 92129-2164 | 2020-05-29 |
| 1003436643 | Carrie Chouinard | Speech-Language Pathologist | 7836 Mission Montana Pl, San Diego, CA 92120-1543 | 2020-04-23 |
| 1801424023 | Chelsey Jean Krug | Speech-Language Pathologist | 9114 Flanders Dr, San Diego, CA 92126-2827 | 2020-04-01 |
| 1104452978 | Joyride Therapeutic Adventures | Speech-Language Pathologist | 3064 Thorn St, San Diego, CA 92104-4639 | 2020-03-12 |
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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.