Roberta S Small, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7970 Issued in CA

Practice address

18740 Ventura Blvd Ste 100
Tarzana, CA 91356-6300

Phone

(818) 774-0224

Fax

(818) 774-1935

NPI assigned

May 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1679730733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566300",
            "telephone_number": "818-774-0224",
            "fax_number": "818-774-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566300",
            "telephone_number": "818-774-0224",
            "fax_number": "818-774-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ROBERTA",
        "middle_name": "S",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep-Tech LLC
• David Lee Slonecker
• Colby Bo Slyapich
• Tatyana Slyusaranskaya, PA-C
• Edahn M Small
• Heather Rene Smart, NP-BC
• Chanel Smiddy
• Irina Smirnoff
• Allen Smith III
• Dawn Marcia Smith, PEER SUPPORT TECH 2

• Speech-Language Pathologist in Tarzana, CA
• Providers in Tarzana, 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 May 16, 2008; 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.