Doctor Name: | MRS. AUDRY GAIL QUINTANILLA |
NPI Number: | 1043455629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC/SLP |
License Number: | 102914 |
Business Practice Address: | 512 Victoria Ln Ste 13 Harlingen, TX - 785503228 |
Business Phone Number: | 9564126060 |
Business Fax Number: | |
Mailing Address: | 130 W Gardenia Ave, MCALLEN |
State: | TX |
Postal Code: | 785019441 |
Phone Number: | 9566551195 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102914 |
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 |