Doctor Name: | PATRICIA A LEAL |
NPI Number: | 1033447420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | 35193 |
Business Practice Address: | 2334 Boca Chica Blvd Ste 100 Brownsville, TX - 785212669 |
Business Phone Number: | 9562148023 |
Business Fax Number: | 9562148022 |
Mailing Address: | 2334 Boca Chica Blvd Ste 100, BROWNSVILLE |
State: | TX |
Postal Code: | 785212669 |
Phone Number: | 9562148023 |
Fax Number: | 9562148022 |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 35193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |