Doctor Name: | MRS. JOSELYNNE YVETTE JAQUES |
NPI Number: | 1427220094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.SC., S-LP (CCC) |
License Number: | 13783 |
Business Practice Address: | 10 Fortuna W Irvine, CA - 926201848 |
Business Phone Number: | 7142353053 |
Business Fax Number: | |
Mailing Address: | 10 Fortuna W, IRVINE |
State: | CA |
Postal Code: | 926201848 |
Phone Number: | 7142353053 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2008 |
NPI Last Update Date: | 03/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13783 |
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 |