Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patricia Anne Tanael Medalla, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1255969176

Patricia Anne Tanael Medalla, MSCCC-SLP is a Speech-Language Pathologist in Fremont, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

38627 Cherry Ln Apt 81
Fremont, CA 94536-4270
Phone: (510) 402-7368
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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 28937 (CA)

Record details

NPI number1255969176
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESFebruary 11, 2022
Certification dateAugust 31, 2021

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