Provider Demographics
NPI:1164659520
Name:IGLESIAS, VERONICA LAURA (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LAURA
Last Name:IGLESIAS
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 E COVINA BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-1649
Mailing Address - Country:US
Mailing Address - Phone:626-339-7091
Mailing Address - Fax:
Practice Address - Street 1:129 1/2 W BADILLO ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2016
Practice Address - Country:US
Practice Address - Phone:626-732-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14196235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist