Doctor Name: | IRENE VASQUEZ |
NPI Number: | 1518335959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP17512 |
Business Practice Address: | 9300 Valley Childrens Pl Madera, CA - 936368761 |
Business Phone Number: | 5593536811 |
Business Fax Number: | |
Mailing Address: | 9300 Valley Childrens Pl, MADERA |
State: | CA |
Postal Code: | 936368761 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP17512 |
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 |