Provider Demographics
NPI:1003567991
Name:BAQUERO, VANESA BEDOYA (MS, C-F SLP)
Entity Type:Individual
Prefix:
First Name:VANESA
Middle Name:BEDOYA
Last Name:BAQUERO
Suffix:
Gender:F
Credentials:MS, C-F SLP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:BEDOYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, C-F SLP
Mailing Address - Street 1:4500 BOTANICAL PLACE CIR APT 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-2421
Mailing Address - Country:US
Mailing Address - Phone:239-682-9314
Mailing Address - Fax:
Practice Address - Street 1:6734 LONE OAK BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-6834
Practice Address - Country:US
Practice Address - Phone:239-597-0935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist