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NPI Code Detail

MEDICARE: JESSICA JANEL ALVAREZ M.S., CCC-SLP

MEDICARE: JESSICA JANEL ALVAREZ 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
12355S0801XSpeech-Language Assistant19206TX
2235Z00000XSpeech-Language Pathologist109834TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861724676
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JANEL ALVAREZ M.S., CCC-SLP
Provider Business Mailing Address
First Line : 9600 SIMS DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-7225
Country : US
Telephone Number : 915-434-8907
Fax Number : 817-789-6849
Provider Business Practice Location Address
First Line : 9600 SIMS DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-7225
Country : US
Telephone Number : 915-434-8907
Fax Number : 817-789-6849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2010
Last Update Date : 09/14/2021

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Directions to “ JESSICA JANEL ALVAREZ M.S., CCC-SLP” Practice Location

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