Provider Demographics
NPI:1518611375
Name:JARAMILLO, VICTORIA (SLPA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:JARAMILLO
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 1:3606 W MELINDA LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-2025
Mailing Address - Country:US
Mailing Address - Phone:602-748-0226
Mailing Address - Fax:
Practice Address - Street 1:3606 W MELINDA LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-2025
Practice Address - Country:US
Practice Address - Phone:602-748-0226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant