Provider Demographics
NPI:1780137745
Name:RODRIGUEZ, CORINNA MAY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CORINNA
Middle Name:MAY
Last Name:RODRIGUEZ
Suffix:
Gender:F
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 1:500 RYLAND ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1662
Mailing Address - Country:US
Mailing Address - Phone:775-453-2148
Mailing Address - Fax:
Practice Address - Street 1:500 RYLAND ST
Practice Address - Street 2:SUITE 500
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1662
Practice Address - Country:US
Practice Address - Phone:775-453-2148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1750235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist