Doctor Name: | DIANA E. PRADO |
NPI Number: | 1538215835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 104755 |
Business Practice Address: | 6550 Springfield Ave Ste 101 Laredo, TX - 780416712 |
Business Phone Number: | 9567254555 |
Business Fax Number: | 9567253555 |
Mailing Address: | 1301 Wildrose Ln, LAREDO |
State: | TX |
Postal Code: | 780413307 |
Phone Number: | 9562207652 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2007 |
NPI Last Update Date: | 05/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104755 |
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 |