Doctor Name: | JOHANNA VELASQUEZ |
NPI Number: | 1043674310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 37508 |
Business Practice Address: | 3507 Jaime Zapata Memorial Hwy Suite 7a Laredo, TX - 780434769 |
Business Phone Number: | 9567535600 |
Business Fax Number: | 9567535602 |
Mailing Address: | 3507 Jaime Zapata Memorial Hwy, Suite 7a LAREDO |
State: | TX |
Postal Code: | 780434769 |
Phone Number: | 9567535600 |
Fax Number: | 9567535602 |
NPI Enumeration Date: | 04/12/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 37508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |