Doctor Name: | VIVIANA TAMEZ |
NPI Number: | 1205021136 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | 100148 |
Business Practice Address: | 900 N Ware Rd Mcallen, TX - 785013517 |
Business Phone Number: | 9566864314 |
Business Fax Number: | 9566864315 |
Mailing Address: | 2805 Fountain Plaza Blvd, EDINBURG |
State: | TX |
Postal Code: | 785398031 |
Phone Number: | 9563162224 |
Fax Number: | 9563160445 |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100148 |
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 |