Provider Demographics
NPI:1255739744
Name:DELGADO, NAOKO JOY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NAOKO
Middle Name:JOY
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:NAOKO
Other - Middle Name:JOY
Other - Last Name:KEUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:35880 RAPHAEL DR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-4501
Mailing Address - Country:US
Mailing Address - Phone:832-808-3406
Mailing Address - Fax:
Practice Address - Street 1:160 N LURING DR STE E
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6840
Practice Address - Country:US
Practice Address - Phone:760-778-6111
Practice Address - Fax:760-406-4229
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109805235Z00000X
CA30658235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist