Doctor Name: | GRETELL MARIETT LOPEZ RODRIGUEZ |
NPI Number: | 1013214030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | THL |
License Number: | 000939 |
Business Practice Address: | Calle Troche #30 Caguas, PR - 00725 |
Business Phone Number: | 7877430993 |
Business Fax Number: | |
Mailing Address: | Box 747, CAGUAS |
State: | PR |
Postal Code: | 00726 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 000939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |