Jilana B. Alfonso, M.S., CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Wellington, FL
NPI 1669784690 · NPPES record last updated Jul 7, 2010
Key facts
- NPI
- 1669784690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA1570 (FL)
- Practice address
- 1520 Wood Dale Ter
Wellington, FL 33414-9095 - Phone
- (561) 386-9407
- NPI assigned
- Jul 7, 2010
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA1570 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA1570 | FL | Yes |
Addresses
Primary practice location
1520 Wood Dale Ter
Wellington, FL 33414-9095
Mailing address
1520 Wood Dale Ter
Wellington, FL 33414-9095
Phone (561) 386-9407
Other providers in Wellington, FL
- Alan D Pierce MD PA
- Iman Alatassi
- Ashley Alburquerque
- Miseline Alcius
- Alkis Robert Alexiadis
- Anailys Alfred
- Razan Alif
- All Professional Home Care, LLC
- All Women Urology PA
- All-Care Home Health Services, Inc
All providers in Wellington, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2010. 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.