Doctor Name: | IRENE GARCIA-BENAVIDES |
NPI Number: | 1265588891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 24754 |
Business Practice Address: | 5052 Lakeway Dr Brownsville, TX - 785209247 |
Business Phone Number: | 9565179361 |
Business Fax Number: | 9565179361 |
Mailing Address: | 5052 Lakeway Dr, BROWNSVILLE |
State: | TX |
Postal Code: | 785209247 |
Phone Number: | 9565179361 |
Fax Number: | 9565729737 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 24754 |
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 |