JUSTINE MARIE REAL


Address: 2155 Caminito Leonzio, Suite 20, Chula Vista, CA 91915-4169
Phone: 8587331954

JUSTINE MARIE REAL (NPI# 1750583274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750583274
Entity Type Individual
Full Name JUSTINE MARIE REAL
Credential SLP
Practice Address 2155 Caminito Leonzio
Suite 20
Chula Vista
CA 91915-4169
Mailing Address 4901 Claire Dr
Oceanside
CA 92057-3534
Practice Telephone 8587331954
Practice Fax Number 8008038147
Mailing Telephone 7605212902
Mailing Fax Number 8008038147
Enumeration Date 2007-06-05
Last Update Date 2011-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 12322 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 2155 CAMINITO LEONZIO
SUITE 20
City CHULA VISTA
State CA
Zip Code 91915-4169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194082644 Courtney Schottmiller Physical Therapist 2155 Caminito Leonzio, Suite 20, Chula Vista, CA 91915-4169 2012-04-20
1932497468 Joseph Sy Physical Therapist 2155 Caminito Leonzio, Unit 20, Chula Vista, CA 91915-4169 2011-07-19
1255626305 Jeffrey Dean Lafever Occupational Therapist 2155 Caminito Leonzio, Suite 20, Chula Vista, CA 91915-4169 2011-06-16
1578855664 Soleil Healing Hands Therapy Inc Occupational Therapy Assistant 2155 Caminito Leonzio, Suite 20, Chula Vista, CA 91915-4169 2011-05-06
1902104425 Frances Noemy Inda Occupational Therapy Assistant 2155 Caminito Leonzio, Suite 20, Chula Vista, CA 91915-4169 2011-03-08

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1821307612 Reginald Alano Demapelis Military Health Care Provider 1510 Circulo Brindisi, Chula Vista, CA 91915 2010-09-28
1184872392 Marietta Galang Registered Nurse 1249 Long View Drive, Chula Vista, CA 91915 2008-08-29
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427669373 Sarah Tah Speech-Language Pathologist 1415 Ridgeback Rd Ste 6, Chula Vista, CA 91910-6984 2020-08-13
1861020992 Jessica Young Wang Speech-Language Pathologist 2160 Lago Madero, Chula Vista, CA 91914-2093 2020-04-01
1942851191 Kennisakemi Furuya Bishop Speech-Language Pathologist 334 Plaza Toluca, Chula Vista, CA 91914-4405 2019-09-27
1073167144 Wrela Johnston Speech-Language Pathologist 2827 Sutter Ridge Dr, Chula Vista, CA 91914-2645 2019-07-27
1992267009 Madeline Elaine Jackson Speech-Language Pathologist 2060 Otay Lakes Rd Ste 270, Chula Vista, CA 91913-1364 2019-04-05
1245738491 Maggie Stake Speech-Language Pathologist 2060 Otay Lakes Rd Unit 270, Chula Vista, CA 91913-1364 2018-01-23
1477090447 Leaha Elrod Speech-Language Pathologist 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 2017-01-27
1841748340 Dianne Olayvar Speech-Language Pathologist 1160 Battle Creek Rd, Chula Vista, CA 91913-1664 2016-09-14
1962874578 Raquel Madar Speech-Language Pathologist 861 Harold Pl #205 Chula Vista Ca 91914-4554, Chula Vista, CA 91914-4554 2015-10-22
1720474646 Roseanne M Stevens Speech-Language Pathologist 450 Jamul Ct, Chula Vista, CA 91911-2505 2015-04-07
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Competitor

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City CHULA VISTA
Zip Code 91915

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Dataset Information

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.

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