Doctor Name: | MS. ELIZABETH HERNANDEZ-DE JESUS |
NPI Number: | 1245651660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CF-SLP |
License Number: | 6533 |
Business Practice Address: | 11310 Legacy Ave Palm Beach Gardens, FL - 334103658 |
Business Phone Number: | 5617991483 |
Business Fax Number: | 5616243864 |
Mailing Address: | 8652 Pocasset Pl, ORLANDO |
State: | FL |
Postal Code: | 328275103 |
Phone Number: | 4072323103 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2014 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |