LESLIE M DEDOMINIC


Address: 2195 Club Center Dr, Suite G, San Bernardino, CA 92408-4170
Phone: 9098351887

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 22261 CA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA CHILDREN'S SERVICES 57857 01

Office Location

Street Address 2195 CLUB CENTER DR
SUITE G
City SAN BERNARDINO
State CA
Zip Code 92408-4170

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City SAN BERNARDINO
Zip Code 92408

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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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