Provider Demographics
NPI:1043626385
Name:ALVAREZ, YESSENIA (CF-SLP)
Entity type:Individual
Prefix:
First Name:YESSENIA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 W 20TH AVE APT 125
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1836
Mailing Address - Country:US
Mailing Address - Phone:786-308-9670
Mailing Address - Fax:
Practice Address - Street 1:7400 W 20TH AVE APT 125
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1836
Practice Address - Country:US
Practice Address - Phone:786-308-9670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker