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

Jordan Fedalizo, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1356014740

Jordan Fedalizo, MACCC-SLP is a Speech-Language Pathologist in LA Mesa, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

8030 La Mesa Blvd # 416
LA Mesa, CA 91942-0335
Phone: (619) 567-9448
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 number1356014740
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedJuly 30, 2021
Last updated in NPPESJuly 30, 2021
Certification dateJuly 23, 2021

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