Provider Demographics
NPI:1134367667
Name:MORENO, BESSIE YOANA (MSCCC-SLP)
Entity type:Individual
Prefix:
First Name:BESSIE
Middle Name:YOANA
Last Name:MORENO
Suffix:
Gender:
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:BESSIE
Other - Middle Name:YOANA
Other - Last Name:RINCON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6901 SHADOW MIST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2345
Mailing Address - Country:US
Mailing Address - Phone:210-397-5918
Mailing Address - Fax:
Practice Address - Street 1:6901 SHADOW MIST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-2345
Practice Address - Country:US
Practice Address - Phone:210-397-5918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121664235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist