Olivia Josefina Alejandro
Individual provider Active NPI Speech-Language Pathologist · Converse, TX
NPI 1245848092 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1245848092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 40097 (TX)
- Practice address
- 811 Meadow Gate
Converse, TX 78109-1525 - Phone
- (210) 875-9244
- NPI assigned
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40097 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 40097 | TX | Yes |
Addresses
Primary practice location
811 Meadow Gate
Converse, TX 78109-1525
Mailing address
811 Meadow Gate
Converse, TX 78109-1525
Phone (210) 875-9244
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | healthtrustglobal | Health Information Exchange (HIE) |
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All providers in Converse, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.