Provider Demographics
NPI:1770380081
Name:MOREJON, ISABEL MARIA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:MARIA
Last Name:MOREJON
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 COLONY POINT CIR APT 402
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-2924
Mailing Address - Country:US
Mailing Address - Phone:954-290-8730
Mailing Address - Fax:
Practice Address - Street 1:1000 COLONY POINT CIR APT 402
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-2924
Practice Address - Country:US
Practice Address - Phone:954-290-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA22510235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist