Doctor Name: | LAURA CECILIA RODRIGUEZ |
NPI Number: | 1639369440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC, SLP |
License Number: | SP13532 |
Business Practice Address: | 101 E Redlands Blvd Ste 220 Redlands, CA - 923734724 |
Business Phone Number: | 9097985050 |
Business Fax Number: | 9097987474 |
Mailing Address: | 101 E Redlands Blvd Ste 220, REDLANDS |
State: | CA |
Postal Code: | 923734724 |
Phone Number: | 9097985050 |
Fax Number: | 9097987474 |
NPI Enumeration Date: | 07/27/2007 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP13532 |
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 |