Most Relevant Information
Provider Data
| NPI Number: | 1003425257 |
| Provider Name: | YESENIA PEREZ M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5306 |
Most Important Dates
| Enumeration Date: | 07/23/2020 |
| Last Updated: | 02/01/2023 |
Provider Practice Location
2615 FAIRWAY ST
DICKINSON
ND
586012590
Practice Location Phone/Fax
| Phone: | 7014566000 |
| Fax: |
Provider Mailing Location
PO BOX 5074
SIOUX FALLS
SD
571175074
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |