Doctor Name: | ANNETTE ELIZABETH CEPERO-JIMENEZ |
NPI Number: | 1295039386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | |
Business Practice Address: | 255 Executive Dr Suite 108ll Plainview, NY - 118031718 |
Business Phone Number: | 7182394147 |
Business Fax Number: | |
Mailing Address: | 174 W 225th St, BRONX |
State: | NY |
Postal Code: | 104635046 |
Phone Number: | 3475588633 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2011 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |