IVY LEAGUE SPEECH THERAPY CENTER
NPI 1154019842
Speech-Language Pathologist in Manteca, CA

Active since May 01, 2023
309 CHERRY LN, MANTECA, CA 95337(516) 425-9897 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ivy League Speech Therapy Center NPPES

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

IVY LEAGUE SPEECH THERAPY CENTER (NPI 1154019842) is a healthcare organization registered as a speech-language pathologist in Manteca, California and active in the NPI registry since May 2023. The organization lists Linda Emma Tavella, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154019842
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameIVY LEAGUE SPEECH THERAPY CENTER
Location Address309 CHERRY LNManteca, CA 95337-4312
Mailing Address309 Cherry LnManteca, CA 95337-4312 · (516) 425-9897
Organization SubpartNo
Authorized OfficialLinda Emma TavellaCeo · (516) 425-9897
Enumeration DateMay 1, 2023
NPPES CertifiedApril 29, 2023
NPI 1154019842 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
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.
309 CHERRY LN, Manteca, CA 95337

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
309 CHERRY LN, SUITE 106
MANTECA, CA 95337

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 Ivy League Speech Therapy Center's NPI number?

The NPI number for Ivy League Speech Therapy Center is 1154019842. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Ivy League Speech Therapy Center located?

Ivy League Speech Therapy Center is located at 309 Cherry Ln, Manteca, CA 95337. The listed phone number is (516) 425-9897.

What is Ivy League Speech Therapy Center'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 Ivy League Speech Therapy Center was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.