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

Individual provider Speech-Language Pathologist · NPI 1659255701

Lelac Badakian Soderberg, CCC-SLP is a Speech-Language Pathologist in Thousand Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
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

816 E Thousand Oaks Blvd # 59
Thousand Oaks, CA 91360-6056
Phone: (818) 530-6100
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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 32194 (CA)

Record details

NPI number1659255701
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 2, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

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