MISS MADALYN MARIE PETROVICH M.S., CCC-SLP
NPI 1942862693
Speech-Language Pathologist in Los Angeles, CA

Q: What is Madalyn Petrovich's NPI number?

The NPI number for Madalyn Petrovich is 1942862693. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Madalyn Petrovich'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 Madalyn Petrovich was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 02, 2019

10780 SANTA MONICA BLVD STE 405, LOS ANGELES, CA 90025(310) 234-0300 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Madalyn Marie Petrovich M.s., Ccc-slp NPPES

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

MISS MADALYN MARIE PETROVICH M.S., CCC-SLP (NPI 1942862693) is an individual speech-language pathologist provider in Los Angeles, California, licensed in California (28402) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1942862693

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMISS MADALYN MARIE PETROVICHCredential: M.S., CCC-SLP

Location Address10780 SANTA MONICA BLVD STE 405Los Angeles, CA 90025-7655

Mailing Address425 N Oakhurst Dr Apt 105Beverly Hills, CA 90210-3913 · (203) 770-8293

Phone(310) 234-0300

Sole ProprietorNo

Enumeration DateJuly 2, 2019

✔ NPI 1942862693 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 · 28402

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.

10780 SANTA MONICA BLVD STE 405, Los Angeles, CA 90025

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Other Providers at the Same Location NPPES 11

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

RACHEL ANN GAUGHENBAUGH OTR/L

Occupational Therapist (Pediatrics)