Gretchen Mieke Webber, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11495 Issued in CA

Practice address

18726 S Western Ave
Suite 204
Gardena, CA 90248-3813

Phone

(310) 352-6405

Fax

(310) 356-3682

NPI assigned

Jun 11, 2009

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

Other names 1

• Mrs. Gretchen Mieke Van Middlesworth Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1801023304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21614 SCANNEL AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036243",
            "telephone_number": "310-352-6405",
            "fax_number": "310-356-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE",
            "address_2": "SUITE 204",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483813",
            "telephone_number": "310-352-6405",
            "fax_number": "310-356-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "GRETCHEN",
        "middle_name": "MIEKE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "VAN MIDDLESWORTH",
            "middle_name": "MIEKE",
            "prefix": "MRS.",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vikki Kaye Watson
• Ekaterina Zinchenko Edwards Webb, NONE
• Jenna Webb
• Shonda Webb, COUNSELOR LL
• Elijah J Webber
• Morgan Rose Weber
• Karen Wedekind
• Cody Devyn Weeks, PH.D., LP
• Lindsay Weglarz
• Wei Consultancy LLC

• Speech-Language Pathologist in Gardena, CA
• Providers in Gardena, 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 Jul 29, 2013; 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.