Doctor Name: | ALICE JESKE |
NPI Number: | 1073999421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 106 N Central Ave Medford, OR - 975015926 |
Business Phone Number: | 5414415473 |
Business Fax Number: | |
Mailing Address: | 4300 S Bus 281, EDINBURG |
State: | TX |
Postal Code: | 785399650 |
Phone Number: | 9562799744 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2015 |
NPI Last Update Date: | 08/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |