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NPI Code Detail

MEDICARE: MRS. IVONNE DEL CARMEN HERNANDEZ-AGUIRRE M.S., CCC-SLP

MEDICARE: MRS. IVONNE DEL CARMEN HERNANDEZ-AGUIRRE 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 PathologistSLP2011AZ

General Provider Information

NPI Number : 1679644033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. IVONNE DEL CARMEN HERNANDEZ-AGUIRRE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2830 N RAMIE PL
Second Line :
City : TUCSON
State : AZ
Zip : 85745-8724
Country : US
Telephone Number : 520-248-0318
Fax Number : 520-867-6048
Provider Business Practice Location Address
First Line : 1601 N TUCSON BLVD STE 5
Second Line :
City : TUCSON
State : AZ
Zip : 85716-3404
Country : US
Telephone Number : 520-325-3540
Fax Number : 520-325-3589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. IVONNE DEL CARMEN HERNANDEZ-AGUIRRE M.S., CCC-SLP” Practice Location

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