Doctor Name: | ROSA MARIA QUEZADA |
NPI Number: | 1366736829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 10226 |
Business Practice Address: | 821 W Whittier Blvd Montebello, CA - 906404735 |
Business Phone Number: | 3237268080 |
Business Fax Number: | 3237268081 |
Mailing Address: | 10631 Lindley Ave, Apt. #225 NORTHRIDGE |
State: | CA |
Postal Code: | 913263205 |
Phone Number: | 8183890322 |
Fax Number: | |
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: | 10226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |