Provider Demographics
NPI:1164017885
Name:ESQUIVEL, LUISA ALEJANDRA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:ALEJANDRA
Last Name:ESQUIVEL
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 1:6022 FAUNTLEROY WAY SW UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1615
Mailing Address - Country:US
Mailing Address - Phone:915-274-6205
Mailing Address - Fax:
Practice Address - Street 1:6022 FAUNTLEROY WAY SW UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1615
Practice Address - Country:US
Practice Address - Phone:915-274-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61089957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist