Provider Demographics
NPI:1972084713
Name:MARCANO, YESENIA MARIE (SPL-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:YESENIA
Middle Name:MARIE
Last Name:MARCANO
Suffix:
Gender:F
Credentials:SPL-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 COPPERMEADE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3502
Mailing Address - Country:US
Mailing Address - Phone:832-469-6846
Mailing Address - Fax:
Practice Address - Street 1:6201 BONHOMME RD STE 407S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4384
Practice Address - Country:US
Practice Address - Phone:713-972-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
393252355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant