Christina Marie Cantu

Individual provider Active NPI Speech-Language Assistant · Copperas Cove, TX

NPI 1497313878 · NPPES record last updated May 31, 2019

Key facts

NPI
1497313878
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
37074 (TX)
Practice address
1115 Northern Dancer Dr
Copperas Cove, TX 76522-4789
Phone
(254) 547-2235
NPI assigned
May 31, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 37074 TX Yes

Addresses

Primary practice location

1115 Northern Dancer Dr
Copperas Cove, TX 76522-4789

Mailing address

1115 Northern Dancer Dr
Copperas Cove, TX 76522-4789
Phone (254) 547-2235

Other providers in Copperas Cove, TX

All providers in Copperas Cove, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.