Jajaira Celedon, SLP-ASSISTANT

Individual provider Active NPI Speech-Language Assistant · Palmview, TX

NPI 1194206334 · NPPES record last updated Aug 26, 2018

Key facts

NPI
1194206334
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
34046 (TX)
Practice address
3412 Limoneros St
Palmview, TX 78572-1889
Phone
(956) 655-4443
Fax
(956) 289-1133
NPI assigned
Aug 26, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
34046TXMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 34046 TX Yes

Addresses

Primary practice location

3412 Limoneros St
Palmview, TX 78572-1889

Mailing address

3412 Limoneros St
Palmview, TX 78572-1889
Phone (956) 655-4443

Other providers in Palmview, TX

All providers in Palmview, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.