Doctor Name: | MRS. MATILDE B. ALANIZ |
NPI Number: | 1396884912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC,RPT-I |
License Number: | 57899 |
Business Practice Address: | 23 Hackberry Ln Roma, TX - 785846640 |
Business Phone Number: | 9568494192 |
Business Fax Number: | 9568491118 |
Mailing Address: | Po Box 1454, ROMA |
State: | TX |
Postal Code: | 785841454 |
Phone Number: | 9568494192 |
Fax Number: | 9568491118 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 57899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |