Doctor Name: | MRS. JILANA B. ALFONSO |
NPI Number: | 1669784690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | SA1570 |
Business Practice Address: | 1520 Wood Dale Ter Wellington, FL - 334149095 |
Business Phone Number: | 5613869407 |
Business Fax Number: | |
Mailing Address: | 1520 Wood Dale Ter, WELLINGTON |
State: | FL |
Postal Code: | 334149095 |
Phone Number: | 5613869407 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |