Provider Demographics
NPI:1770005274
Name:BELLO-ALMAZAN, JULISSA GUADALUPE
Entity Type:Individual
Prefix:
First Name:JULISSA
Middle Name:GUADALUPE
Last Name:BELLO-ALMAZAN
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 1:3399 PARIS LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-7597
Mailing Address - Country:US
Mailing Address - Phone:479-790-7115
Mailing Address - Fax:
Practice Address - Street 1:3399 PARIS LN
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-7597
Practice Address - Country:US
Practice Address - Phone:479-790-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist