Doctor Name: | VERONICA M DOMINGUEZ |
NPI Number: | 1598911919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | TSLP5951 |
Business Practice Address: | 11513 W Amber Stone Dr Marana, AZ - 856538107 |
Business Phone Number: | 5209540358 |
Business Fax Number: | |
Mailing Address: | 11513 W Amber Stone Dr, MARANA |
State: | AZ |
Postal Code: | 856538107 |
Phone Number: | 5209540358 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP5951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |