Individual provider · Type 1 NPI

Ivanisse Coraly Asencio-Acevedo, M.S. CCC-SLP

Speech-Language Pathologist · Tacoma, WA

NPI number 1669287579 Active

Practice location

1502 S Orchard St Apt F304
Tacoma, WA 98465-2445

Call (334) 470-6604 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XLL60846550 (WA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1669287579

Ivanisse Coraly Asencio-Acevedo, M.S. CCC-SLP's National Provider Identifier is 1669287579, issued on Feb 8, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Tacoma, WA. The record was last updated on Feb 18, 2025.