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SHANNON NICOLE JACQUEZ-JARAMILLO CCC-SLP NPI 1316515752


NPI Information

NPI: 1316515752
Provider Name: SHANNON NICOLE JACQUEZ-JARAMILLO, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
624 AMBROSE LN
TUSTIN, CA
ZIP 92780
Phone: (949) 683-8525
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Shannon Nicole Jacquez-jaramillo, CCC-SLP is a speech language pathologist in Tustin, CA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Shannon Nicole Jacquez-jaramillo, CCC-SLP NPI is 1316515752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

624 AMBROSE LN
TUSTIN, CA
ZIP 92780-443
Phone: (949) 683-8525

The enumeration date for this NPI number is 6/13/2021 and was last updated on 3/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist15506CALIFORNIANo
2235Z00000XSpeech-Language Pathologist33609CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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