Provider Demographics
NPI:1629733761
Name:HERNANDEZ-ESPINOZA, ISELA YVONNE
Entity Type:Individual
Prefix:
First Name:ISELA
Middle Name:YVONNE
Last Name:HERNANDEZ-ESPINOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 VIA CREMONIA WAY
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-3816
Mailing Address - Country:US
Mailing Address - Phone:915-345-7371
Mailing Address - Fax:
Practice Address - Street 1:6508 FIESTA DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5030
Practice Address - Country:US
Practice Address - Phone:915-230-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100912235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist