Clarissa G. Kretz, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102257 Issued in TX

Practice address

2117 E Tyler Ave Ste B
Harlingen, TX 78550-7211

Phone

(956) 440-0580

NPI assigned

May 18, 2007

Last updated

Apr 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Rehab Services Inc

  dba Mercy Kids Rehab

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1467259309

  Speech-Language Pathologist

  NPD (past)
• Mercy Rehab Services, Inc.

  • Rehabilitation Clinic/Center
  • Harlingen, TX
  • NPI 1700916004
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1336357722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28175 CANELO LOOP",
            "city": "RIO HONDO",
            "state": "TX",
            "postal_code": "785833502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 E TYLER AVE STE B",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507211",
            "telephone_number": "956-440-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZ",
        "first_name": "CLARISSA",
        "middle_name": "G.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KND Development 59, LLC
• Priyanka Kondreddy, M.B.B.S
• Hari Kotta
• Neil Kotta
• Shridhar Kotta, M.D.
• Krow LLC (El Vaquero Adult Day Care)
• Melinda Ann Kruger, LMT;LE
• Aracely Kundmueller, AGPCNP
• Cristina Mariuxi Kuon Yeng Escalante, MD
• Mogbolahan Martin Kuye, MD

• Speech-Language Pathologist in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.