| Doctor Name: | ERICA TREVINO |
| NPI Number: | 1831376995 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | S.L.P. |
| License Number: | 103782 |
| Business Practice Address: | 1403 N Seymour Ave Laredo, TX - 780408752 |
| Business Phone Number: | 9567236700 |
| Business Fax Number: | 9567245599 |
| Mailing Address: | 1403 N Seymour Ave, LAREDO |
| State: | TX |
| Postal Code: | 780408752 |
| Phone Number: | 9567236700 |
| Fax Number: | 9567245599 |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 103782 |
| 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 |