Doctor Name: | CARMEN MARCELA JARAMILLO |
NPI Number: | 1174836308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 020219 |
Business Practice Address: | 504 79th St Apt 2 North Bergen, NJ - 070474957 |
Business Phone Number: | 2018616368 |
Business Fax Number: | |
Mailing Address: | 504 79th St, Apt 2 NORTH BERGEN |
State: | NJ |
Postal Code: | 070474957 |
Phone Number: | 2018616368 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2010 |
NPI Last Update Date: | 07/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |