Doctor Name: | MRS. JACQUELINE NICOLE LOPEZ |
NPI Number: | 1265726772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 105947 |
Business Practice Address: | 1477 Lomaland Dr Ste E7 El Paso, TX - 799354704 |
Business Phone Number: | 9155996690 |
Business Fax Number: | 9155927168 |
Mailing Address: | 1477 Lomaland Dr Ste E7, EL PASO |
State: | TX |
Postal Code: | 799354704 |
Phone Number: | 9155996690 |
Fax Number: | 9155927168 |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |