Milestone Speech Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15483 Issued in CA

Legal business name

MILESTONE SPEECH THERAPY, INC

Practice address

210 N Central Ave Ste 200
Glendale, CA 91203-2536

Phone

(818) 245-6718

Fax

(818) 245-6719

NPI assigned

Feb 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maureen J. Fondevilla-Perez, M.S. CCC-SLPNPI 1437521572

Title

Owner/President

Phone

(818) 245-6718

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen J Fondevilla-Perez, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Glendale, CA
  • NPI 1437521572
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1134587967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CENTRAL AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032536",
            "telephone_number": "818-245-6718",
            "fax_number": "818-245-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CENTRAL AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032536",
            "telephone_number": "818-245-6718",
            "fax_number": "818-245-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "FONDEVILLA-PEREZ",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-245-6718",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Gabrielle Millan, NP
• Kirby Millanes
• Millennium Medical Solutions
• Adam Miller

• Speech-Language Pathologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.