MOLLY STODDARD
NPI 1336717842
Speech-Language Pathologist in San Luis Obispo, CA

Q: What is Molly Stoddard's NPI number?

The NPI number for Molly Stoddard is 1336717842. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Q: What is Molly Stoddard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Molly Stoddard was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 12, 2021

1130 GROVE ST, SAN LUIS OBISPO, CA 93401(805) 543-3945 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Molly Stoddard NPPES

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

MOLLY STODDARD (NPI 1336717842) is an individual speech-language pathologist provider in San Luis Obispo, California and active in the NPI registry since June 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1336717842

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMOLLY STODDARD

Location Address1130 GROVE STSan Luis Obispo, CA 93401-2914

Mailing Address536 Ash StLos Osos, CA 93402-2504 · (805) 291-7888

Phone(805) 543-3945

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 12, 2021

NPPES CertifiedJune 12, 2021

✔ NPI 1336717842 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.

1130 GROVE ST, San Luis Obispo, CA 93401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Stoddard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123422326

PECOS Enrollment IDI20210810003629

Other Providers at the Same Location NPPES 12

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

MS. AMY VALENTINE TIDIK MA,CCC-SP

Speech-Language Pathologist