Doctor Name: | JEAN LOUISE DELA TORRE |
NPI Number: | 1184923088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | 05907 |
Business Practice Address: | 1672 Carlyle Dr. Apt. E Crofton, MD - 21114 |
Business Phone Number: | 3152893959 |
Business Fax Number: | |
Mailing Address: | 1672 Carlyle Dr. Apt. E, CROFTON |
State: | MD |
Postal Code: | 21114 |
Phone Number: | 3152893959 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2011 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 05907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |