Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina Marie Destefano, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1154208056

Gina Marie Destefano, MA, CCC-SLP is a Speech-Language Pathologist in Beverly Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

129 S Carson Rd
Beverly Hills, CA 90211-2901
Phone: (516) 241-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 23465 (CA)

Record details

NPI number1154208056
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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