Joanne Bae, M.S.

Individual provider Active NPI Speech-Language Pathologist · Porter Ranch, CA

NPI 1992124374 · NPPES record last updated Apr 3, 2026

Key facts

NPI
1992124374
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
8950 (CA)
Practice address
19709 Falcon Ridge LN
Porter Ranch, CA 91326-4027
Phone
(818) 669-8879
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8950 CA Yes

Addresses

Primary practice location

19709 Falcon Ridge LN
Porter Ranch, CA 91326-4027

Mailing address

19709 Falcon Ridge LN
Porter Ranch, CA 91326-4027
Phone (818) 669-8879

Other providers in Porter Ranch, CA

All providers in Porter Ranch, CA · Speech-Language Pathologist in California

Sources for this page

Verify at the official NPI Registry.