Yessica Astrid Vazquez

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

NPI 1326436726 · NPPES record last updated Jan 7, 2015

Key facts

NPI
1326436726
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
37362 (TX)
Practice address
123 W Mile 3 Rd Ste a-103
Palmhurst, TX 78573-1633
Phone
(956) 585-9889
Fax
(956) 585-9896
NPI assigned
Jan 7, 2015
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

LicenseStateTypeSpecialty
37362TXMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 37362 TX Yes

Addresses

Primary practice location

123 W Mile 3 Rd Ste a-103
Palmhurst, TX 78573-1633

Mailing address

123 W Mile 3 Rd Ste a-103
Palmhurst, TX 78573-1633
Phone (956) 585-9889

Other providers in Palmhurst, TX

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

Sources for this page

Verify at the official NPI Registry.