Doctor Name: | MS. PATRICIA JANE JIMENEZ |
NPI Number: | 1003040692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC-SLP/L |
License Number: | 6145 |
Business Practice Address: | 221 W Central Ave Coolidge, AZ - 852284704 |
Business Phone Number: | 5204242169 |
Business Fax Number: | |
Mailing Address: | 14014 N Hemet Dr, ORO VALLEY |
State: | AZ |
Postal Code: | 857555884 |
Phone Number: | 5209071027 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2009 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |