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

Individual provider Speech-Language Pathologist · NPI 1780091405

Maxine Vandoren, PHD, CCC-SLP is a Speech-Language Pathologist in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
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

3958 Louisiana St Unit 5
San Diego, CA 92104-2780
Phone: (909) 213-3805
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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 27406 (CA)

Record details

NPI number1780091405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

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