| Organization Name: | SRN SPEECH THERAPY, PC |
| NPI Number: | 1356713671 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SERGIO RUBEN NAVARRETE (PRESIDENT/ SPEECH LANGUAGE PATHOLOG) |
| Mailing Address: | 6058 Via De Los Arboles El Paso |
| State: | TX US |
| Postal Code: | 799321829 |
| Phone Number: | 9156297663 |
| Fax Number: | 9156297673 |
| NPI Enumeration Date: | 10/26/2015 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4021 |
| 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 |