Provider Demographics
NPI:1093427783
Name:MOREJON GATO, YESICA B (SLPA)
Entity Type:Individual
Prefix:
First Name:YESICA
Middle Name:B
Last Name:MOREJON GATO
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14921 LOUIS ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7468
Mailing Address - Country:US
Mailing Address - Phone:786-329-2423
Mailing Address - Fax:
Practice Address - Street 1:14921 LOUIS ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7468
Practice Address - Country:US
Practice Address - Phone:786-329-2423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI59302355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant