Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanyia Khadem, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1801744313

Tanyia Khadem, MACCC-SLP is a Speech-Language Pathologist in Glendora, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1600 E Foothill Blvd
Glendora, CA 91741-3024
Phone: (626) 963-5731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-15029 (CA)

Record details

NPI number1801744313
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMarch 19, 2026
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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