MEDICARE: ROSARIO ALEJANDRA MORALES VILLEGAS SLPA

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	TSLP16755	AZ
2	2355S0801X	Speech-Language Assistant	9552	AZ

General Provider Information

NPI Number	:	1801262308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSARIO ALEJANDRA MORALES VILLEGAS SLPA

Provider Business Mailing Address
First Line	:	PO BOX 8272
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85349-6825
Country	:	US
Telephone Number	:	928-366-6578
Fax Number	:

Provider Business Practice Location Address
First Line	:	1657 E. B STREET
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85349
Country	:	US
Telephone Number	:	928-366-6578
Fax Number	:

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

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	05/04/2026

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Directions to “ ROSARIO ALEJANDRA MORALES VILLEGAS SLPA” Practice Location

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