Jaqueline Hernandez, CCC-SLP
NPI #1639721475 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1639721475
- Entity Type
- Individual
- Name
- Jaqueline Hernandez, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Jul 11, 2019
- Last Updated
- May 9, 2023
Practice Location
- Address
- 4800 W SAN ANTONIO ST STE 103
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6127
- Phone
- (918) 417-8740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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