Doctor Name: | MS. AILEA VILLANUEVA |
NPI Number: | 1356634299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SP-1273 |
Business Practice Address: | 2250 E Flamingo Rd Las Vegas, NV - 891195170 |
Business Phone Number: | 7027844303 |
Business Fax Number: | |
Mailing Address: | 3144 Darby Falls Dr, LAS VEGAS |
State: | NV |
Postal Code: | 891347420 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-1273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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 |