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AUDRENE UNTALAN CCC-SLP
NPI 1093507477
Speech-Language Pathologist in San Diego, CA

Active since May 21, 2025
13223 BLACK MOUNTAIN RD # 1508, SAN DIEGO, CA 92129(858) 753-5082 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrene Untalan Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDRENE UNTALAN CCC-SLP (NPI 1093507477) is an individual speech-language pathologist provider in San Diego, California, licensed in California (38930) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1093507477
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAUDRENE UNTALANCredential: CCC-SLP
Location Address13223 BLACK MOUNTAIN RD # 1508San Diego, CA 92129-2698
Mailing Address13223 Black Mountain RdSan Diego, CA 92129-2698
Phone(858) 753-5082
Sole ProprietorNo
Enumeration DateMay 21, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1093507477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 38930
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
13223 BLACK MOUNTAIN RD # 1508, San Diego, CA 92129
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA BUSTOS
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
KACY NICOLE CHAPMAN
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
CARINA MENA
Occupational Therapist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
AMANDA REANN O'DONNELL OTD, OTR/L
Occupational Therapist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (559) 346-7132
ROXANNE BELAUSKAS LICENSE, CCC-SLP
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (619) 957-3843
KRISTIN ELIZABETH SAVAGE
Physical Therapist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (909) 367-9977
OLIVIA GRACE BUSCHBACHER CCC-SLP
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
CLAIRE MANLEY M.A. CCC-SLP
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1508
SAN DIEGO, CA 92129
San Diego County (858) 753-5082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrene Untalan's NPI number?

The NPI number for Audrene Untalan is 1093507477. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Audrene Untalan located?

Audrene Untalan practices at 13223 Black Mountain Rd # 1508, San Diego, CA 92129. The listed phone number is (858) 753-5082.

What is Audrene Untalan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Audrene Untalan was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.