Doctor Name: | MIRZA JEANNETTE LUGO-NERIS |
NPI Number: | 1790197903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 106269 |
Business Practice Address: | 17306 Orwell Ln Round Rock, TX - 786647415 |
Business Phone Number: | 7875100370 |
Business Fax Number: | |
Mailing Address: | 17306 Orwell Ln, ROUND ROCK |
State: | TX |
Postal Code: | 786647415 |
Phone Number: | 7875100370 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2014 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106269 |
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 |