Provider Demographics
NPI:1841088929
Name:HUYNH, ALEENA BENEDITO (CF-SLP)
Entity type:Individual
Prefix:
First Name:ALEENA
Middle Name:BENEDITO
Last Name:HUYNH
Suffix:
Gender:
Credentials:CF-SLP
Other - Prefix:
Other - First Name:ALEENA
Other - Middle Name:REPOLLO
Other - Last Name:BENEDITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:443 PALERMO
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-7620
Mailing Address - Country:US
Mailing Address - Phone:619-754-3069
Mailing Address - Fax:
Practice Address - Street 1:22691 LAMBERT ST STE 502
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1614
Practice Address - Country:US
Practice Address - Phone:949-273-6503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20336235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist