Provider Demographics
NPI:1033690680
Name:CANTU, LORENA G (SLPA)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:G
Last Name:CANTU
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 N US HIGHWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-3578
Mailing Address - Country:US
Mailing Address - Phone:956-765-1999
Mailing Address - Fax:956-765-1998
Practice Address - Street 1:1609 N US HIGHWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-3578
Practice Address - Country:US
Practice Address - Phone:956-765-1999
Practice Address - Fax:956-765-1998
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX336102355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant