Vivian Sosa Hernandez-Arellano, M.S., CCC-SLP

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

NPI 1699804328 · NPPES record last updated Sep 25, 2023

Key facts

NPI
1699804328
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
114228 (NM)
Practice address
2700 Yonkers St.
Plainview, TX 79072
Phone
(806) 293-2636
Fax
(806) 213-1102
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3207NMMDPhysical Therapist
114228NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dexter Consolidated Schools Past
since Dec 21, 2021
Accepting new patients
Central Plains Center Eci Past
since Nov 8, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3207 NM
Speech-Language Pathologist 235Z00000X 114228 NM Yes

Addresses

Primary practice location

2700 Yonkers St.
Plainview, TX 79072

Mailing address

2700 Yonkers St.
Plainview, TX 79072
Phone (806) 293-2636

Other names

  • Vivian S. Matlack Former name

Other providers in Plainview, TX

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

Sources for this page

Verify at the official NPI Registry.