Maurice Kristina Caceres, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Pharr, TX

NPI 1366529232 · NPPES record last updated Nov 16, 2011

Key facts

NPI
1366529232
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
105591 (TX)
Practice address
1210 W Expy 83
Suite 7
Pharr, TX 78577-6516
Phone
(956) 783-9000
Fax
(956) 783-9131
NPI assigned
Oct 31, 2006
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
105591TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 105591 TX Yes

Addresses

Primary practice location

1210 W Expy 83
Suite 7
Pharr, TX 78577-6516

Mailing address

PO Box 3008
Edinburg, TX 78540-3008
Phone (956) 289-6355

Other providers in Pharr, TX

All providers in Pharr, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.