Doctor Name: | MISS AMY CANTU |
NPI Number: | 1518089002 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 102538 |
Business Practice Address: | 805 N Cage Blvd Ste I-j Pharr, TX - 785773102 |
Business Phone Number: | 9567876600 |
Business Fax Number: | 9567876488 |
Mailing Address: | 2904 N 24th St, MCALLEN |
State: | TX |
Postal Code: | 785016306 |
Phone Number: | 9566826249 |
Fax Number: | 9563830711 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102538 |
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 |