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

Individual provider Speech-Language Pathologist · NPI 1215186630

Katherine M Moeller, SP is a Qualified Speech Language Pathologist in Baldwin Park, California. Qualified in 2008, 18 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
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Practice location Address checks out

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone: (626) 851-1011
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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 RPE5288 (CA)

Record details

NPI number1215186630
Entity typeIndividual (Type 1)
GenderFemale
Credentials SP
Sole proprietorNo
NPI enumeratedSeptember 10, 2008
Last updated in NPPESDecember 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Baldwin Park