Thessa Abellera, SLPA

Individual provider Active NPI Speech-Language Assistant · Reseda, CA

NPI 1023628757 · NPPES record last updated Aug 6, 2020

Key facts

NPI
1023628757
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
1141 (CA)
Practice address
18050 Vanowen St
Reseda, CA 91335-5638
Phone
(818) 888-4559
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1141CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child Development Institute Current
since Dec 5, 2021
Accepting new patients

Locations

18050 Vanowen St
Reseda, CA 91335
Phone (818) 888-4559

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 1141 CA Yes

Addresses

Primary practice location

18050 Vanowen St
Reseda, CA 91335-5638

Mailing address

729 Wing St
Glendale, CA 91205-2605

Other practice location 1

1555 Simi Town Center Way Ste 720
Simi Valley, CA 93065-0540
Phone (805) 416-0494

Other providers in Reseda, CA

All providers in Reseda, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.