Daphne Reyes, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34203 Issued in CA

Practice address

6825 Poppyview Dr
Oak Park, CA 91377-3928

Phone

(818) 402-7366

NPI assigned

Sep 7, 2024

Last updated

Sep 12, 2024By the provider in NPPES

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

Other names 1

• Daphne Daliza Andino Licona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Younique Minds & Voices Pediatric Bilingual Speech Therapy

  • Speech-Language Pathologist
  • Oak Park, CA
  • NPI 1659227098
  NPD Authorized official

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1992530984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 POPPYVIEW DR",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913773928",
            "telephone_number": "818-402-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 POPPYVIEW DR",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913773928",
            "telephone_number": "818-402-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DAPHNE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNE",
            "last_name": "ANDINO LICONA",
            "middle_name": "DALIZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Andy R Purdy, P.T.
• Janet Resnick, M.A.
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• Amber Christine Ruddock, PHD
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• Speech-Language Pathologist in Oak Park, CA
• Providers in Oak Park, 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 Sep 12, 2024; 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.