Individual provider · Type 1 NPI

Basille Jimenez, MS, CCC-SLP

Speech-Language Pathologist · Gardena, CA

NPI number 1912600289 Active

Practice location

1411 W 190th St Ste 110
Gardena, CA 90248-4370

Call (310) 719-3908 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1912600289

Basille Jimenez, MS, CCC-SLP's National Provider Identifier is 1912600289, issued on Mar 24, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Gardena, CA. The record was last updated on Oct 16, 2025.