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

Individual provider Speech-Language Pathologist · NPI 1457141293

Leen Mudallal, CCC-SLP is a Qualified Speech Language Pathologist in Harbor City, California. Qualified in 2024, 2 years ago. Practices with New Life Physical Therapy Services PC, a 94-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
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

24328 Vermont Ave # 318
Harbor City, CA 90710-2314
Phone: (424) 250-9615
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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

Record details

NPI number1457141293
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New Life Physical Therapy Services Pc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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