Provider Demographics
NPI:1093356909
Name:TERRAZAS, PAULINA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PAULINA
Middle Name:
Last Name:TERRAZAS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28W063 87TH ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9624
Mailing Address - Country:US
Mailing Address - Phone:708-285-4565
Mailing Address - Fax:
Practice Address - Street 1:4008 CHINABERRY LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-1131
Practice Address - Country:US
Practice Address - Phone:708-285-4565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty