Provider Demographics
NPI:1003392176
Name:DELGADILLO, PAULA (SLP-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DELGADILLO
Suffix:
Gender:F
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 SAN BENITO ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4310
Mailing Address - Country:US
Mailing Address - Phone:956-756-1704
Mailing Address - Fax:
Practice Address - Street 1:871 OLD ALICE RD STE 100
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8269
Practice Address - Country:US
Practice Address - Phone:956-554-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX349352355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty