Doctor Name: | JENNIFER ALICIA RODRIGUEZ |
NPI Number: | 1538490826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S CCC/SLP |
License Number: | 104430 |
Business Practice Address: | 2010 Redskin Ave Ste A Donna, TX - 785373380 |
Business Phone Number: | 9563775155 |
Business Fax Number: | 9563775123 |
Mailing Address: | 2010 Redskin Ave, Ste A DONNA |
State: | TX |
Postal Code: | 785373380 |
Phone Number: | 9563775155 |
Fax Number: | 9563775123 |
NPI Enumeration Date: | 01/26/2010 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |