Jazmin Herrera-Placido

Individual provider Active NPI Speech-Language Assistant · Corning, CA

NPI 1104627488 · NPPES record last updated Mar 21, 2025

Key facts

NPI
1104627488
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
9307 (CA)
Practice address
2032 Donnovan Ave
Corning, CA 96021-2701
Phone
(530) 268-5898
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9307CAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 9307 CA Yes

Addresses

Primary practice location

2032 Donnovan Ave
Corning, CA 96021-2701

Mailing address

2032 Donnovan Ave
Corning, CA 96021-2701

Other providers in Corning, CA

All providers in Corning, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.