Provider Demographics
NPI:1942062377
Name:HINOJOSA, CELESTE ANAEL (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:ANAEL
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5854 CARIBBEAN CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-5643
Mailing Address - Country:US
Mailing Address - Phone:209-684-1772
Mailing Address - Fax:
Practice Address - Street 1:5854 CARIBBEAN CIR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-5643
Practice Address - Country:US
Practice Address - Phone:209-684-1772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18893235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist