MRS. STEPHENIE MARIE GOMEZ (NPI# 1164695615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164695615 |
| Entity Type | Individual |
| Full Name | MRS. STEPHENIE MARIE GOMEZ |
| Other Name | STEPHANIE MARIE VENTURINO |
| Credential | MA CCC-SLP |
| Practice Address |
9606 Tierra Grande Suite 107 San Diego CA 92126 |
| Practice Telephone | 8586959415 |
| Practice Fax Number | 8586959412 |
| Mailing Telephone | 8586959415 |
| Mailing Fax Number | 8586959412 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP14412 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
9606 TIERRA GRANDE SUITE 107 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| 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.