Doctor Name: | MS. MARIA JOSE IGLESIAS-CORRAL |
NPI Number: | 1194008144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C-4982 |
Business Practice Address: | 2135 Payne St Apt 306 Las Cruces, NM - 880015886 |
Business Phone Number: | 5755209345 |
Business Fax Number: | |
Mailing Address: | 2135 Payne St Apt 306, Apt 306 LAS CRUCES |
State: | NM |
Postal Code: | 880015889 |
Phone Number: | 5755209345 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | C-4982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |