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NPI Code Detail

MEDICARE: MISS JOSSELYNE DE JESUS RODRIGUEZ SLP

MEDICARE: MISS JOSSELYNE DE JESUS RODRIGUEZ 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 Pathologist116077TX

General Provider Information

NPI Number : 1922519461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JOSSELYNE DE JESUS RODRIGUEZ SLP
Provider Business Mailing Address
First Line : 900 WASHINGTON AVE STE 602
Second Line :
City : WACO
State : TX
Zip : 76701-1283
Country : US
Telephone Number : 254-296-9792
Fax Number :
Provider Business Practice Location Address
First Line : 13333 BLANCO RD STE 302
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-7756
Country : US
Telephone Number : 210-764-1188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 02/12/2021

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Directions to “ MISS JOSSELYNE DE JESUS RODRIGUEZ SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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