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

Vivian MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902770639

Vivian MA, CCC-SLP is a Speech-Language Pathologist in Mather, California. Registered with an NPI since 2025.

In the registry since
2025
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

10535 Hospital Way
Mather, CA 95655-4200
Phone: (347) 931-1085
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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

Record details

NPI number1902770639
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 4, 2025
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025
Mailing address3918 211th St Apt 1, Bayside, NY 11361-1996

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