BIANCA ANJELICA TREJO (NPI# 1154947778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154947778 |
| Entity Type | Individual |
| Full Name | BIANCA ANJELICA TREJO |
| Credential | CF-SLP |
| Practice Address |
650 Olive St Shreveport LA 71104-2210 |
| Mailing Address |
3717 Acadian Trce Monroe LA 71201-2171 |
| Practice Telephone | 3183026000 |
| Mailing Telephone | 3182824856 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8578 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
650 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861444200 | Jason Riley | Physical Therapist | 650 Olive St, Shreveport, LA 71104 | 2006-05-16 |
| 1679187314 | Melissa Dosher | Physical Therapy Assistant | 650 Olive St, Shreveport, LA 71104-2210 | 2020-09-01 |
| 1689292930 | Cassie Lyn Thomas | Speech-Language Pathologist | 650 Olive St, Shreveport, LA 71104-2210 | 2020-07-13 |
| 1578189163 | Yolanda Yvette Coleman-smith | Speech-Language Pathologist | 650 Olive St, Shreveport, LA 71104-2210 | 2020-06-19 |
| 1407470941 | Bethany Marie Hamilton | Behavioral Analyst | 650 Olive St, Shreveport, LA 71104-2210 | 2020-06-01 |
| 1346872587 | Samantha Aarstad Martin | Counselor | 650 Olive St, Shreveport, LA 71104-2210 | 2020-02-05 |
| 1972142214 | Matthew Davis | Physical Therapy Assistant | 650 Olive St, Shreveport, LA 71104-2210 | 2020-01-03 |
| 1356984470 | Emilee Rene Powers | Occupational Therapy Assistant | 650 Olive St, Shreveport, LA 71104-2210 | 2019-10-21 |
| 1831745140 | Alyssa Denee Patterson | Physical Therapy Assistant | 650 Olive St, Shreveport, LA 71104-2210 | 2019-08-13 |
| 1477107100 | Jamie Trichel | Occupational Therapy Assistant | 650 Olive St, Shreveport, LA 71104-2210 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295370 | Jennifer Martin Cloutet | Speech-Language Pathologist | 8842 Mccain Rd, Shreveport, LA 71107-9245 | 2020-05-04 |
| 1851924237 | Jeter Speech Language Pathology Services, LLC | Speech-Language Pathologist | 31 Spring Lake Way, Shreveport, LA 71106-4700 | 2020-02-13 |
| 1952952863 | Renee M Humpal | Speech-Language Pathologist | 7606 Tampa Way, Shreveport, LA 71105-5407 | 2019-09-23 |
| 1932765401 | Curtistine Louann Earnest | Speech-Language Pathologist | 6117 Verona Ln, Shreveport, LA 71105-4831 | 2019-05-10 |
| 1295298388 | Rebecca Durr | Speech-Language Pathologist | 9533 Rochel Dr, Shreveport, LA 71115-3854 | 2019-04-07 |
| 1184111767 | Rachel Gernand | Speech-Language Pathologist | 1800 Buckner St Ste C247, Shreveport, LA 71101-4440 | 2018-04-18 |
| 1215453907 | Becky Evans | Speech-Language Pathologist | 8870 Youree Dr Ste 208, Shreveport, LA 71115-2512 | 2017-08-15 |
| 1851812846 | Mary Beth Tucker | Speech-Language Pathologist | 141 Dalton St, Shreveport, LA 71106-7401 | 2017-06-29 |
| 1518488733 | Gisele Proby Bryant | Speech-Language Pathologist | 6007 Financial Plz Ste 223, Shreveport, LA 71129-2657 | 2017-06-28 |
| 1689109027 | Ashley Serwan | Speech-Language Pathologist | 2522 E.70th Street, Shreveport, LA 71105 | 2017-04-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.