Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivanisse Coraly Asencio-Acevedo, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1669287579

Ivanisse Coraly Asencio-Acevedo, MSCCC-SLP is a Speech-Language Pathologist in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

1502 S Orchard St Apt F304
Tacoma, WA 98465-2445
Phone: (334) 470-6604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence LL60846550 (WA)

Record details

NPI number1669287579
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 8, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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