Provider Demographics
NPI:1003445974
Name:MORALES, JANITZA EMILY (MS, SLP)
Entity Type:Individual
Prefix:MISS
First Name:JANITZA
Middle Name:EMILY
Last Name:MORALES
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB EL CONQUISTADOR
Mailing Address - Street 2:CALL.11 RD9
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6428
Mailing Address - Country:US
Mailing Address - Phone:787-478-2281
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA CAROLINA
Practice Address - Street 2:CALL. 506 215-16
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-3042
Practice Address - Country:US
Practice Address - Phone:787-762-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4217235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist