Doctor Name: | MRS. JOVITA BARRON REYES |
NPI Number: | 1467774489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., SLP |
License Number: | SP13949 |
Business Practice Address: | 591 Mccray St Suite 201 Hollister, CA - 950232224 |
Business Phone Number: | 8316309044 |
Business Fax Number: | 8316375925 |
Mailing Address: | 591 Mccray St, Suite 201 HOLLISTER |
State: | CA |
Postal Code: | 950232224 |
Phone Number: | 8316309044 |
Fax Number: | 8316375925 |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP13949 |
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 |