Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy League Speech Therapy Center

Organization Speech-Language Pathologist · NPI 1154019842

Ivy League Speech Therapy Center is a Speech-Language Pathologist in Manteca, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

309 Cherry Ln
Manteca, CA 95337-4312
Phone: (516) 425-9897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1154019842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Tavella — Ceo · (516) 425-9897
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateApril 29, 2023
Mailing address309 Cherry Ln, Manteca, CA 95337-4312

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