Doctor Name: | DINA MARIE DE LA CRUZ |
NPI Number: | 1275829285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 103732 |
Business Practice Address: | 4416 N Mccoll Rd Mcallen, TX - 785042480 |
Business Phone Number: | 9566641819 |
Business Fax Number: | 9569948299 |
Mailing Address: | 4416 N Mccoll Rd, MCALLEN |
State: | TX |
Postal Code: | 785042480 |
Phone Number: | 9566641819 |
Fax Number: | 9569948299 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 103732 |
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 |