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NPI Code Detail

MEDICARE: BESSIE YOANA MORENO M.S.CCC-SLP

MEDICARE: BESSIE YOANA MORENO M.S.CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist121664TX

General Provider Information

NPI Number : 1134367667
Entity Type Code : Individual
Provider Name (Legal Business Name) : BESSIE YOANA MORENO M.S.CCC-SLP
Provider Business Mailing Address
First Line : 6901 SHADOW MIST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-2345
Country : US
Telephone Number : 210-397-5918
Fax Number :
Provider Business Practice Location Address
First Line : 6901 SHADOW MIST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-2345
Country : US
Telephone Number : 210-397-5918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2009
Last Update Date : 02/24/2025

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Directions to “ BESSIE YOANA MORENO M.S.CCC-SLP” Practice Location

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