KIMBERLY L MANTONG (NPI# 1376825968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376825968 |
| Entity Type | Individual |
| Full Name | KIMBERLY L MANTONG |
| Credential | SLP |
| Practice Address |
41689 Enterprise Cir N Suite 118 Temecula CA 92590-5630 |
| Mailing Address |
2100 Begley Dr Corona CA 92881-7239 |
| Practice Telephone | 9514610615 |
| Practice Fax Number | 9512961943 |
| Mailing Telephone | 9517381453 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP13077 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
41689 ENTERPRISE CIR N SUITE 118 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477789485 | Jamie A Nichols | Speech-Language Pathologist | 41689 Enterprise Cir N, Suite 118, Temecula, CA 92590-5630 | 2009-06-04 |
| 1831508019 | Elena Edwards | Speech-Language Pathologist | 41689 Enterprise Cir N, Suite #118, Temecula, CA 92590-5630 | 2014-08-12 |
| 1902188360 | Patricia A Brown | Speech-Language Pathologist | 41689 Enterprise Cir N, Suite 118, Temecula, CA 92590-5630 | 2011-09-12 |
| 1487935334 | Stephanie J Kroeker | Specialist/Technologist | 41689 Enterprise Cir N, Suite 118, Temecula, CA 92590-5630 | 2011-09-06 |
| 1811293889 | Kieran M Trudel | Speech-Language Pathologist | 41689 Enterprise Cir N, Suite 118, Temecula, CA 92590-5630 | 2011-02-08 |
| 1295031318 | Nichols Speech and Language Services | Speech-Language Pathologist | 41689 Enterprise Cir N, Suite 118, Temecula, CA 92590-5630 | 2011-02-07 |
| 1093034779 | Nichols Speech, Inc. | Speech-Language Pathologist | 41689 Enterprise Cir N, Suite 118, Temecula, CA 92590-5630 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| 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 |
|---|---|---|---|---|
| 1457974271 | Taylor Caitlin Pinch | Speech-Language Pathologist | 28936 Old Town Front St Ste 104, Temecula, CA 92590-2890 | 2020-05-27 |
| 1477023992 | Jessica Lane Christy Womer | Speech-Language Pathologist | 39061 New Meadow Dr, Temecula, CA 92591-7436 | 2018-11-27 |
| 1457820359 | Janell Pearl Tuley | Speech-Language Pathologist | 41689 Enterprise Cir N Ste 118, Temecula, CA 92590-5630 | 2018-11-20 |
| 1578049094 | Sandra Gisonda | Speech-Language Pathologist | 44881 Trotsdale Dr, Temecula, CA 92592-5874 | 2018-07-18 |
| 1659802619 | Alexandra Anthony | Speech-Language Pathologist | 41830 Rio Grande Dr, Temecula, CA 92591-3843 | 2017-03-22 |
| 1053778639 | Sara Marie Crahan | Speech-Language Pathologist | 42056 Roanoake St, Temecula, CA 92591-3826 | 2016-01-27 |
| 1972985430 | Kelsey Johnson | Speech-Language Pathologist | 41769 Enterprise Cir N Ste 104&105, Temecula, CA 92590-5626 | 2015-06-22 |
| 1659760650 | Alexa Ingram | Speech-Language Pathologist | 41574 Eagle Point Way, Temecula, CA 92591-7948 | 2015-01-13 |
| 1437547999 | Steby Stephen | Speech-Language Pathologist | 30090 Rancho California Rd, Apt 272, Temecula, CA 92591-2974 | 2015-01-06 |
| 1982006581 | Jillian Kerstetter | Speech-Language Pathologist | 41311 Yuba Cir, Temecula, CA 92591-1546 | 2014-09-25 |
| Find all providers in TEMECULA | ||||
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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.