Provider Demographics
NPI:1457727992
Name:HINOJOSA, JESSICA DAWN (CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:DAWN
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 STARR ST. SUITE 2
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570
Mailing Address - Country:US
Mailing Address - Phone:956-514-1551
Mailing Address - Fax:956-514-1554
Practice Address - Street 1:208 STARR ST SUITE 2
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570
Practice Address - Country:US
Practice Address - Phone:956-514-1551
Practice Address - Fax:956-514-1554
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110714235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist