Doctor Name: | GRACIELA G GARCIA |
NPI Number: | 1982968509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 100527 |
Business Practice Address: | 427 E Duranta Ave Suite 104b Alamo, TX - 785163407 |
Business Phone Number: | 2105201723 |
Business Fax Number: | 2105201724 |
Mailing Address: | Po Box 681271, SAN ANTONIO |
State: | TX |
Postal Code: | 782681271 |
Phone Number: | 2105201723 |
Fax Number: | 2105201724 |
NPI Enumeration Date: | 06/28/2012 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100527 |
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 |