MEDICARE: YOHANDRA MENENDEZ CRESPO

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
1	235Z00000X	Speech-Language Pathologist	121233	TX

General Provider Information

NPI Number	:	1588437586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOHANDRA MENENDEZ CRESPO

Provider Business Mailing Address
First Line	:	5839 PLANTATION FOREST DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-4866
Country	:	US
Telephone Number	:	832-372-1586
Fax Number	:

Provider Business Practice Location Address
First Line	:	5839 PLANTATION FOREST DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-4866
Country	:	US
Telephone Number	:	832-372-1586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	11/01/2023

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Directions to “ YOHANDRA MENENDEZ CRESPO ” Practice Location

Language	Start Address	Practice Location

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