Provider Type Icon

PATRICIA ANNE TANAEL MEDALLA M.S. CCC-SLP NPI 1255969176


NPI Information

NPI: 1255969176
Provider Name: PATRICIA ANNE TANAEL MEDALLA, M.S. CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
38627 CHERRY LN APT 81
FREMONT, CA
ZIP 94536
Phone: (510) 402-7368
Get Directions

Patricia Anne Tanael Medalla, M.S. CCC-SLP is a speech language pathologist in Fremont, CA. The provider is 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. Patricia Anne Tanael Medalla, M.S. CCC-SLP NPI is 1255969176. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38627 CHERRY LN APT 81
FREMONT, CA
ZIP 94536-270
Phone: (510) 402-7368

The enumeration date for this NPI number is 3/27/2020 and was last updated on 2/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist28937CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.