MISS MADALYN MARIE PETROVICH (NPI# 1942862693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942862693 |
| Entity Type | Individual |
| Full Name | MISS MADALYN MARIE PETROVICH |
| Credential | M.S., CCC-SLP |
| Practice Address |
10780 Santa Monica Blvd Ste 405 Los Angeles CA 90025-7655 |
| Mailing Address |
425 N Oakhurst Dr Apt 105 Beverly Hills CA 90210-3913 |
| Practice Telephone | 3102340300 |
| Mailing Telephone | 2037708293 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 28402 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
10780 SANTA MONICA BLVD STE 405 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611293 | Christina Yamada | Occupational Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2012-09-10 |
| 1164070207 | Rachel Ann Gaughenbaugh | Occupational Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2019-09-02 |
| 1528549318 | Lesley Lai | Occupational Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2018-08-28 |
| 1992299358 | Shannon Olivia Long | Physical Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2018-06-19 |
| 1326531153 | Curtiss Jenni Benger | Physical Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2018-06-06 |
| 1467846584 | Jaclyn Steinberg | Speech-Language Pathologist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| 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 |
|---|---|---|---|---|
| 1770183626 | Dina Kamionski | Speech-Language Pathologist | 10592 Wilkins Ave, Los Angeles, CA 90024-6033 | 2020-10-29 |
| 1780295998 | Teadora Taddeo | Speech-Language Pathologist | 4909 Baltimore St, Los Angeles, CA 90042-2214 | 2020-08-11 |
| 1386254985 | Christina Foucault Crowe | Speech-Language Pathologist | 823 Teakwood Rd, Los Angeles, CA 90049-1329 | 2020-08-07 |
| 1811515273 | Cathleen Wynne | Speech-Language Pathologist | 4310 Finley Ave Apt 6, Los Angeles, CA 90027-2847 | 2020-07-10 |
| 1447878517 | Christina Lee Cannon | Speech-Language Pathologist | 101 S Sycamore Ave Apt 2, Los Angeles, CA 90036-2984 | 2020-07-06 |
| 1811510456 | Debra Devorah Smilow | Speech-Language Pathologist | 222 S Mccadden Pl, Los Angeles, CA 90004-1054 | 2020-05-18 |
| 1811517220 | Neil Gordon Murray | Speech-Language Pathologist | 3480 Barham Blvd Apt 111, Los Angeles, CA 90068-1458 | 2020-04-26 |
| 1306465976 | Jill Davidson | Speech-Language Pathologist | 12516 Sanford St, Los Angeles, CA 90066-6935 | 2020-04-13 |
| 1356960520 | Roni Tunick | Speech-Language Pathologist | 1432 Camden Ave Apt 104, Los Angeles, CA 90025-3471 | 2020-04-08 |
| 1235762956 | Elizabeth Joy Gordon | Speech-Language Pathologist | 154 S Mansfield Ave, Los Angeles, CA 90036-3019 | 2020-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on MISS MADALYN MARIE PETROVICH.
| 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.