Letizia Sipos Hendrickson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

20070 Issued in CA

Practice address

7456 Wish Ave
Lake Balboa, CA 91406-2533

Phone

(424) 253-6365

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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 Science

State licenses

Practice roles

Locations

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.

• Learning Grove Physical Therapy Inc

  • Multi-Specialty Clinic/Center
  • Reseda, CA
  • NPI 1396143418
  NPD

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1972107779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 WISH AVE",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062533",
            "telephone_number": "818-606-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 WISH AVE",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062533",
            "telephone_number": "424-253-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "LETIZIA",
        "middle_name": "SIPOS",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G and K Home Care Inc.
• Kimberle D. Gamble, LMFT
• General Promed Center Inc
• Melinda Piega Gordon, D.M.D.
• Growth Extended, Inc.
• Karin Howard, M.A., CCC-SLP
• Anik Janjughazyan, LMFT
• Patrick Zen Jen
• Rosielee Artemese Jones, D.C.
• Luiza Kazaryan, NP

• Speech-Language Pathologist in Lake Balboa, CA
• Providers in Lake Balboa, 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 Nov 23, 2020; 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.