Provider Demographics
NPI:1902338494
Name:ACUNA, PAULA YANEZ (MA)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:YANEZ
Last Name:ACUNA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1465
Mailing Address - Country:US
Mailing Address - Phone:847-901-3262
Mailing Address - Fax:847-901-3362
Practice Address - Street 1:1936 LAKE AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1465
Practice Address - Country:US
Practice Address - Phone:847-901-3262
Practice Address - Fax:847-901-3362
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.012633235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist