Doctor Name: | JESSICA L SEPULVEDA |
NPI Number: | 1013300094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1074 |
Business Practice Address: | Ae14 Calle Rio Humacao Urb. Rio Hondo 2 Bayamon, PR - 009613201 |
Business Phone Number: | 7874398517 |
Business Fax Number: | |
Mailing Address: | Ae14 Calle Rio Humacao, Urb. Rio Hondo 2 BAYAMON |
State: | PR |
Postal Code: | 009613201 |
Phone Number: | 7874398517 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2015 |
NPI Last Update Date: | 03/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
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 |