Individual provider · Type 1 NPI

Michele Jean San Antonio, M.S. CCC-SLP

Speech-Language Pathologist · Los Angeles, CA

NPI number 1629520192 Active

Practice location

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Mailing address

4334 Matilija Ave Apt 220
Sherman Oaks, CA 91423-3625

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSP 13836 (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 1629520192

Michele Jean San Antonio, M.S. CCC-SLP's National Provider Identifier is 1629520192, issued on Oct 31, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 2, 2026.