Individual provider · Type 1 NPI

Audrene Untalan, CCC-SLP

Speech-Language Pathologist · San Diego, CA

NPI number 1093507477 Active

Practice location

13223 Black Mountain Rd # 1508
San Diego, CA 92129-2698

Call (858) 753-5082 Map

Mailing address

13223 Black Mountain Rd
San Diego, CA 92129-2698

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	38930 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1093507477

Audrene Untalan, CCC-SLP's National Provider Identifier is 1093507477, issued on May 21, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Diego, CA. The record was last updated on May 21, 2025.