DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JILLIAN MARIA BACA, SLPA

Active Sole Proprietor

MRS. JILLIAN MARIA BACA, SLPA is a Speech, Language and Hearing Specialist healthcare provider located in TRINIDAD, Colorado. NPI 1144998527 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · TRINIDAD, CO

Registration Details

NPI Number
1144998527
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2021 (4.9122480197445 yrs)
Last Updated
Sep 1, 2021
License
358258 (CO)
Sole Proprietor
Yes

Practice Information

Address
2404 DESPERADO DR
TRINIDAD, CO, 810823966
Browse CO providers · Browse ZIP 81082
Phone
7196802015
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in TRINIDAD, CO

Name Credential NPI
HEATHER M BACA M.S.,ED.,CCC-SLP 1255497327
AUDREY SUSAN SERAZIO CCC-SLP 1730450321
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.