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

Ivonne De Carlo Fuller, MS

Individual provider Speech-Language Pathologist · NPI 1679859631

Ivonne De Carlo Fuller, MS is a Speech-Language Pathologist in Baldwin Park, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone: (626) 851-6671
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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 20326 (CA)

Record details

NPI number1679859631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedOctober 21, 2011
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

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