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

Individual provider Speech-Language Pathologist · NPI 1629534383

Renee Susan Lavelle, CCC-SLP is a Speech-Language Pathologist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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

340 Victoria St
Costa Mesa, CA 92627-1914
Phone: (949) 870-2256
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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 37112 (CA)

Record details

NPI number1629534383
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESNovember 23, 2025
Certification dateNovember 23, 2025

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