Doctor Name: | KASSANDRA FAJARDO-GARCIA |
NPI Number: | 1053781435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA 9240 |
Business Practice Address: | 300 Sevilla Ave Ste 300 Coral Gables, FL - 331346636 |
Business Phone Number: | 7865128323 |
Business Fax Number: | |
Mailing Address: | 300 Sevilla Ave Ste 300, CORAL GABLES |
State: | FL |
Postal Code: | 331346636 |
Phone Number: | 7865128323 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2015 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 9240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |