Doctor Name: | IRENE TERAN |
NPI Number: | 1003940008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12497 |
Business Practice Address: | 7500 Viscount Blvd Suite C-49 El Paso, TX - 799255638 |
Business Phone Number: | 9158387604 |
Business Fax Number: | |
Mailing Address: | 1921 Octubre Dr, EL PASO |
State: | TX |
Postal Code: | 799352907 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |