Jessica Cuevas, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dixon, CA
NPI 1184348369 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1184348369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 33804 (CA)
- Practice address
- 670 Meadowlark LN
Dixon, CA 95620-3880 - Phone
- (619) 962-5578
- NPI assigned
- Sep 30, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33804 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 33804 | CA | Yes |
Addresses
Primary practice location
670 Meadowlark LN
Dixon, CA 95620-3880
Mailing address
670 Meadowlark LN
Dixon, CA 95620-3880
Phone (619) 962-5578
Other providers in Dixon, CA
- Allison Craig
- Anthony Craig
- Crestwood Behavioral Health, Inc.
- Crossroads Living Center Inc.
- Crossroads Living Center Inc.
- Catherine Anne Cunha
- Danielle Noel Curtis
- Dalla Dental Group Dixon Inc.
- David Keith Jolander
- Carla Antoinette Demaray
All providers in Dixon, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.