Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Madalyn Marie Petrovich, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1942862693

Miss. Madalyn Marie Petrovich, MS, CCC-SLP is a Speech-Language Pathologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

10780 Santa Monica Blvd Ste 405
Los Angeles, CA 90025-7655
Phone: (310) 234-0300
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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 28402 (CA)

Record details

NPI number1942862693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019

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