Active NPI
Monique Trezise, M.S.,CCC-SLP
- Speech-Language Pathologist
- Long Beach, CA
National Provider Identifier
1003547720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14337643
- Practice address
- 2334 Canehill Ave
Long Beach, CA 90815-2213 - Phone
- (562) 326-0462
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14337643 | CA | Primary |
Addresses
Primary practice location
2334 Canehill Ave
Long Beach, CA 90815-2213
Mailing address
2334 Canehill Ave
Long Beach, CA 90815-2213
Phone (562) 326-0462
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14337643 | Other | CA | DEPT OF CA- SPEECH AND HEARING ASSOCIATION |
| 14337643 | Other | CA | ASHA -AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14337643 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1003547720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 CANEHILL AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152213",
"telephone_number": "562-326-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 CANEHILL AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152213",
"telephone_number": "562-326-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREZISE",
"first_name": "MONIQUE",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "14337643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF CA- SPEECH AND HEARING ASSOCIATION",
"identifier": "14337643",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA -AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
"identifier": "14337643",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.