NPI 1952776510 · live from the CMS NPI Registry
Jessica Arevalo
Speech-Language Pathologist, in Vestavia, AL. National Provider Identifier 1952776510, active.
NPI record
| NPI | 1952776510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1025 Montgomery Hwy, Suite 214, Vestavia, AL 35216 |
| Practice phone | 205-540-4013 |
| Enumerated | December 8, 2015 |
| Last updated | December 8, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 11518022 (AL) |
| Speech-Language Pathologist, primary | 235Z00000X | 2950 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.