Doctor Name: | DENISSE FONTANEZ |
NPI Number: | 1235360967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 668 |
Business Practice Address: | Urb Villas De Rio Grande Calle Garcia De La Noceda B-18 Rio Grande, PR - 00745 |
Business Phone Number: | 7878872555 |
Business Fax Number: | |
Mailing Address: | Urb Villas De Rio Grande, Calle Garcia De La Noceda B-18 RIO GRANDE |
State: | PR |
Postal Code: | 00745 |
Phone Number: | 7878872555 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
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 |