Vanessa C Ovalle, SLP
Individual provider Active NPI Speech-Language Pathologist · Alton, TX
NPI 1881819902 · NPPES record last updated Oct 10, 2014
Key facts
- NPI
- 1881819902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 102015 (TX)
- Practice address
- 1315 W. Main a, Suite 11
Alton, TX 78573 - Phone
- (956) 580-1100
- Fax
- (956) 580-1138
- NPI assigned
- Apr 16, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 102015 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102015 | TX | Yes |
Addresses
Primary practice location
1315 W. Main a, Suite 11
Alton, TX 78573
Mailing address
318 S. 26TH St.
McAllen, TX 78501
NPI Registry JSON
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1881819902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 S. 26TH ST.",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 W. MAIN A, SUITE 11",
"city": "ALTON",
"state": "TX",
"postal_code": "78573",
"telephone_number": "956-580-1100",
"fax_number": "956-580-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVALLE",
"first_name": "VANESSA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, TX
- Rosa M Mora
- Elizabeth Morales
- Nuestra Clinica del Valle Inc
- Kristal Ochoa
- Tanya Ortiz
- Jaclyn Perez
- Sanjuanita Perez
- Performance Therapeutics Alton, PLLC
- Primeros Pasos Rehab, LLC
- R. Sergio Ramirez, M.D., P.a.
All providers in Alton, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.