| Organization Name: | KIDZ ROCK THERAPY, PLLC |
| NPI Number: | 1871920173 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE GARCIA (SPEECH-LANGUAGE PATHOLOGIST) |
| Mailing Address: | 102 1st Ave Suite B Zapata |
| State: | TX US |
| Postal Code: | 780763271 |
| Phone Number: | 9567503161 |
| Fax Number: | 9567503238 |
| NPI Enumeration Date: | 10/01/2013 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 104380 |
| 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 |