The Speech Garden

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

101388 Issued in TX

Legal business name

THE SPEECH GARDEN

Practice address

4963 Augusta SQ
San Antonio, TX 78247-5670

Phone

(956) 821-2530

Fax

(210) 757-3600

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Julissa CavazosNPI 1407071574

Title

SLP

Phone

(956) 821-2530

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julissa G Cavazos, M.A. CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1407071574
  NPD (past) Authorized official

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1801268347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 AUGUSTA SQ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 AUGUSTA SQ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475670",
            "telephone_number": "956-821-2530",
            "fax_number": "210-757-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH GARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "956-821-2530"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "101388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.