Provider Demographics
NPI:1033826243
Name:LA JOYA ISD
Entity Type:Organization
Organization Name:LA JOYA ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:SAUCEDA
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED SLP
Authorized Official - Phone:956-289-9926
Mailing Address - Street 1:200 W EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-4309
Mailing Address - Country:US
Mailing Address - Phone:956-323-2570
Mailing Address - Fax:
Practice Address - Street 1:200 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-4309
Practice Address - Country:US
Practice Address - Phone:956-323-2570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty