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MARY AMANDA HERNANDEZ CCC-SLP
NPI 1255014858
Speech-Language Pathologist in San Diego, CA

Active since August 09, 2023
3636 CAMINO DEL RIO N STE 101, SAN DIEGO, CA 92108(619) 928-1293(619) 923-7522 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Aug 9, 2023 (2 updates tracked since 2023).

About Mary Amanda Hernandez Ccc-slp NPPES

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

MARY AMANDA HERNANDEZ CCC-SLP (NPI 1255014858) is an individual speech-language pathologist provider in San Diego, California, licensed in California (SP36192) and active in the NPI registry since August 2023. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1255014858
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY AMANDA HERNANDEZCredential: CCC-SLP
Location Address3636 CAMINO DEL RIO N STE 101San Diego, CA 92108-1722
Mailing Address1607 Robinson AveSan Diego, CA 92103-4505 · (949) 534-5270
Phone(619) 928-1293
Fax(619) 923-7522
Sole ProprietorNo
Enumeration DateAugust 9, 2023
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1255014858 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 · SP36192
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.
3636 CAMINO DEL RIO N STE 101, San Diego, CA 92108
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Secondary Practice Location 1

Location 11607 Robinson AveSan Diego, CA 92103-4505 · Phone (949) 534-5270

Other Providers at the Same Location NPPES 2

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

JILLIAN MOWRY MCGARRY M.S., OTR/L
Occupational Therapist (Pediatrics)
3636 CAMINO DEL RIO N STE 101
SAN DIEGO, CA 92108
San Diego County (619) 928-1293
LIFE CYCLE SPEECH THERAPY CORPORATION
Speech-Language Pathologist
3636 CAMINO DEL RIO N STE 101
SAN DIEGO, CA 92108
San Diego County (619) 928-1293

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 Mary Hernandez's NPI number?

The NPI number for Mary Hernandez is 1255014858. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Mary Hernandez located?

Mary Hernandez practices at 3636 Camino Del Rio N Ste 101, San Diego, CA 92108. The listed phone number is (619) 928-1293.

What is Mary Hernandez'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 Mary Hernandez was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.