CLEO MARIELLE MEDINA (NPI# 1275141020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275141020 |
| Entity Type | Individual |
| Full Name | CLEO MARIELLE MEDINA |
| Practice Address |
2150 S 87th Ave Tolleson AZ 85353-7000 |
| Mailing Address |
1616 N Central Ave Apt 2140 Phoenix AZ 85004-1662 |
| Practice Telephone | 6234747000 |
| Practice Fax Number | 6239369253 |
| Mailing Telephone | 4698881149 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
2150 S 87TH AVE |
| City | TOLLESON |
| State | AZ |
| Zip Code | 85353-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104003433 | Katie Elizabeth Pennell | Specialist/Technologist | 2150 S 87th Ave, Tolleson, AZ 85353-7000 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710503388 | Annie's Home, LLC | Home Health | 8517 W Chickasaw St., Tolleson, AZ 85353 | 2020-06-19 |
| 1427614429 | Destiny Behavioral Health Residential Care LLC 6 | Community Based Residential Treatment Facility, Mental Illness | 8755 W Pioneer Street, Tolleson, AZ 85353 | 2019-05-15 |
| 1831669258 | New Beginning Behavioral Health LLC | Psychiatric Residential Treatment Facility | 3329 S 87th Dr, Tolleson, AZ 85353 | 2018-11-28 |
| 1679049886 | Jaclyn Peters | Registered Nurse | 9401 West Garfield Street, Tolleson, AZ 85353 | 2018-10-16 |
| 1265949861 | Destiny Behavioral Health Residential Care LLC 5 | Community Based Residential Treatment Facility, Mental Illness | 10313 W Hess Street, Tolleson, AZ 85353 | 2018-01-04 |
| 1174858260 | Earl Dean Elwood | Pharmacist | 500 S. 99th Ave, Tolleson, AZ 85353 | 2009-10-07 |
| 1952533556 | Sun Valley Pharmacy LLC | Pharmacy | 219 W Pima, Gila Bend, AZ 85353 | 2009-08-14 |
| 1467570747 | Union Elementary School | Local Education Agency (LEA) | 3834 S 91st Ave, Tolleson, AZ 85353 | 2007-03-26 |
| 1285798462 | Promenade Dental Group, LLP | Dentist | 2755 S 99th Ave, Ste 105, Tolleson, AZ 85353 | 2006-12-21 |
| 1679636781 | Greta Denise Doss | Respite Care | 3006 S 102 Ln, Tolleson, AZ 85353 | 2006-12-19 |
| Find all providers in zip 85353 | ||||
| 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 |
|---|---|---|---|---|
| 1962921932 | Allison Barone | Speech-Language Pathologist | 8803 W Van Buren St, Tolleson, AZ 85353-3101 | 2017-09-11 |
| 1417352220 | Ariel Diane Maglinao | Speech-Language Pathologist | 5025 S 103rd Ave, Tolleson, AZ 85353-4423 | 2014-10-23 |
| 1568515963 | Kellie Droste IIi | Speech-Language Pathologist | 10207 W Country Place Blvd, Tolleson, AZ 85353-8450 | 2007-01-19 |
| 1356351415 | Rakeesha R Reeves | Speech-Language Pathologist | 9261 W Van Buren St, Tolleson, AZ 85353-2941 | 2006-08-09 |
| 1598378754 | Treisha Wan | Speech-Language Pathologist | 8803 W Van Buren St, Tolleson, AZ 85353-3101 | 2020-08-27 |
| 1164034344 | Erin Esbenshade | Speech-Language Pathologist | 9261 W Van Buren St, Tolleson, AZ 85353-2941 | 2020-08-19 |
| 1780137539 | Courtney Gettings | Speech-Language Pathologist | 5025 S 103rd Ave, Tolleson, AZ 85353-4423 | 2016-07-28 |
| 1881871648 | Amy Lauren Wilgus | Speech-Language Pathologist | 9261 W Van Buren St, Tolleson, AZ 85353-2941 | 2008-01-23 |
| 1609065424 | Amanda Jean Bigar | Speech-Language Pathologist | 9261 W Van Buren St, Tolleson, AZ 85353-2941 | 2007-10-17 |
| 1326236266 | Chelsi Che Porter | Speech-Language Pathologist | 9261 W Van Buren St, Tolleson, AZ 85353-2941 | 2007-10-04 |
| Find all providers in TOLLESON | ||||
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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.