Provider Demographics
NPI:1609196807
Name:GOVEO, YARELIS (THL)
Entity Type:Individual
Prefix:MRS
First Name:YARELIS
Middle Name:
Last Name:GOVEO
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9063
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-9063
Mailing Address - Country:US
Mailing Address - Phone:787-613-5285
Mailing Address - Fax:787-783-1325
Practice Address - Street 1:COND.PALACIOS DE VERSALLES
Practice Address - Street 2:D 201
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-613-5285
Practice Address - Fax:787-783-1325
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5232355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant