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

Supernova Speech Therapy, a Professional Speech Language Pathology Cor

Organization Speech-Language Pathologist · NPI 1053027441

Supernova Speech Therapy, a Professional Speech Language Pathology Cor is a Speech-Language Pathologist in Long Beach, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2017 Palo Verde Ave Ste 201
Long Beach, CA 90815-3300
Phone: (562) 317-1477
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 number1053027441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Magana-Gomez — Ceo/Speech Language Pathologist · (562) 317-1477
Other names Supernova Speech Therapy
NPI enumeratedJanuary 27, 2023
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address2017 Palo Verde Ave Ste 201, Long Beach, CA 90815-3300

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