Most Relevant Information
Provider Data
| NPI Number: | 1003194838 |
| Provider Name: | JEANETTE B. LOPEZ MA; CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | TX10307 |
Most Important Dates
| Enumeration Date: | 07/27/2011 |
| Last Updated: | 04/10/2012 |
Provider Practice Location
1510 N ZARAGOZA RD
STE. A-11
EL PASO
TX
799367975
Practice Location Phone/Fax
| Phone: | 9158550601 |
| Fax: | 9158550751 |
Provider Mailing Location
1905 SEPTIEMBRE DR
EL PASO
TX
799352819
Provider Mailing Phone/Fax
| Phone: | 9153732456 |
| Fax: |