SO YOUNG PARK (NPI# 1992353288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992353288 |
| Entity Type | Individual |
| Full Name | SO YOUNG PARK |
| Credential | CF-SLP |
| Practice Address |
11838 Bernardo Plaza Ct Ste 110 San Diego CA 92128-2414 |
| Practice Telephone | 8586735437 |
| Mailing Telephone | 8586735437 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13530 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974706 | So Hyang Park | Internal Medicine | 460 N Reading Rd, Ephrata, PA 17522-9606 | 2007-02-05 |
| 1154420743 | So Y Park | Acupuncturist | 4840 Irvine Blvd, Suite#203, Irvine, CA 92620-1962 | 2006-09-21 |
| Street Address |
11838 BERNARDO PLAZA CT STE 110 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427385673 | Lesley S Hyatt | Occupational Therapist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2009-11-09 |
| 1659972776 | Brianna Noel Tipton Mitchell | Speech-Language Pathologist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2020-11-04 |
| 1356940753 | Alyssa S Pitts | Speech-Language Pathologist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2020-10-19 |
| 1255989521 | Samantha Miller | Speech-Language Pathologist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2019-08-29 |
| 1740832260 | Lara Rogene Reyes | Speech-Language Pathologist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2019-07-15 |
| 1861959058 | Robin Nicole Smith | Physical Therapist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2019-02-25 |
| 1588135149 | Courtney E Burnett | Specialist/Technologist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128 | 2018-12-07 |
| 1174002182 | Dana Joy Lusby | Occupational Therapist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2018-08-09 |
| 1235642133 | Emily Cohen | Occupational Therapist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2017-11-14 |
| 1922518414 | Diana Garcia | Speech-Language Pathologist | 11838 Bernardo Plaza Ct Ste 110, San Diego, CA 92128-2414 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1922605898 | Little Rose Speech Therapy, Inc. | Speech-Language Pathologist | 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 | 2020-10-05 |
| 1710594122 | Chelsea A Johnson | Speech-Language Pathologist | 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 | 2020-09-29 |
| 1770195083 | Emma Kotsher | Speech-Language Pathologist | 2081 Cable St, San Diego, CA 92107-2573 | 2020-08-18 |
| 1891310165 | Ingrid Wolfer Exerjian | Speech-Language Pathologist | 1844 Malden St, San Diego, CA 92109-2208 | 2020-06-12 |
| 1326663014 | Fernanda Manriquez | Speech-Language Pathologist | 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 | 2020-06-09 |
| 1588288567 | Samantha Sandler | Speech-Language Pathologist | 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 | 2020-06-04 |
| 1225652910 | Laura L Kishaba | Speech-Language Pathologist | 13343 Samantha Ave, San Diego, CA 92129-2164 | 2020-05-29 |
| 1003436643 | Carrie Chouinard | Speech-Language Pathologist | 7836 Mission Montana Pl, San Diego, CA 92120-1543 | 2020-04-23 |
| 1801424023 | Chelsey Jean Krug | Speech-Language Pathologist | 9114 Flanders Dr, San Diego, CA 92126-2827 | 2020-04-01 |
| 1104452978 | Joyride Therapeutic Adventures | Speech-Language Pathologist | 3064 Thorn St, San Diego, CA 92104-4639 | 2020-03-12 |
| Find all providers in SAN DIEGO | ||||
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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.