LESLIE M DEDOMINIC (NPI# 1750757217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750757217 |
Entity Type | Individual |
Full Name | LESLIE M DEDOMINIC |
Credential | MS, CCC-SLP |
Practice Address |
2195 Club Center Dr Suite G San Bernardino CA 92408-4170 |
Practice Telephone | 9098351887 |
Practice Fax Number | 9098351858 |
Mailing Telephone | 9098351887 |
Mailing Fax Number | 9098351858 |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 22261 | CA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CALIFORNIA CHILDREN'S SERVICES | 57857 | 01 |
Street Address |
2195 CLUB CENTER DR SUITE G |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92408-4170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962452714 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 2195 Club Center Dr, Suite A-l, San Bernardino, CA 92408-4170 | 2006-05-11 |
1134538564 | Michelle Hong | Psychologist | 2195 Club Center Dr, San Bernardino, CA 92408-4170 | 2014-08-11 |
1437570926 | Subhadra Ramanathan | Genetic Counselor, MS | 2195 Club Center Dr, Ste A, San Bernardino, CA 92408-4170 | 2013-12-30 |
1376825489 | Danielle Dolores Newton | Speech-Language Pathologist | 2195 Club Center Dr, Suite G, San Bernardino, CA 92408-4170 | 2011-09-14 |
1417160847 | Maulin Soneji | Internal Medicine | 2195 Club Center Dr, San Bernardino, CA 92408 | 2007-05-08 |
1043233737 | David J Michelson | Pediatrics | 2195 Club Center Dr, Ste A, San Bernardino, CA 92408-4170 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
Find all providers in zip 92408 |
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 |
---|---|---|---|---|
1346704053 | Bianca Sarah Rosenthal | Speech-Language Pathologist | 777 N F St, San Bernardino, CA 92410-3017 | 2019-01-27 |
1528532165 | Deanna Schryver | Speech-Language Pathologist | 1181 E Highland Ave Ste B, San Bernardino, CA 92404-4605 | 2019-01-16 |
1538617600 | Susan Marie Staley | Speech-Language Pathologist | 5795 N F St, San Bernardino, CA 92407-2660 | 2016-09-16 |
1669741757 | Helen Kathleen Demetrion | Speech-Language Pathologist | 3694 W Meyers Rd, San Bernardino, CA 92407-1720 | 2011-12-20 |
1114216280 | Linda Marie Weiss | Speech-Language Pathologist | 167 E Manchester Ln, San Bernardino, CA 92408-4147 | 2011-03-29 |
1891099180 | Candi Epperson | Speech-Language Pathologist | 103 N Plymouth Way, San Bernardino, CA 92408-4119 | 2010-12-31 |
1023346970 | Laura-lee Reid Doll | Speech-Language Pathologist | 1911 So. Commercenter East, #111, San Bernardino, CA 92408-3454 | 2009-12-03 |
1457971566 | Jamie Lou Mejorada Sabellon | Speech-Language Pathologist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2020-04-17 |
1134751266 | Heather Lynn Woolard | Speech-Language Pathologist | 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408-3238 | 2020-02-06 |
1306497144 | Megan Cherene | Speech-Language Pathologist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2019-09-23 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92408 |
Please comment or provide details below to improve the information on LESLIE M DEDOMINIC.
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.