Doctor Name: | MRS. EDNA JOLIE CARLO |
NPI Number: | 1598971293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 627 |
Business Practice Address: | Speech Language Pathology Program School Of Health Professions Medical Sciences Campus San Juan, PR - 009365067 |
Business Phone Number: | 7877582525 |
Business Fax Number: | 7877653596 |
Mailing Address: | 105 Calle Ruiz Belvis, CAYEY |
State: | PR |
Postal Code: | 007364627 |
Phone Number: | 7877582525 |
Fax Number: | 7877563596 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
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 |