Provider Demographics
NPI:1063654556
Name:MARIA L. FORERO
Entity Type:Organization
Organization Name:MARIA L. FORERO
Other - Org Name:TEXAS THERAPY SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:FORERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-380-7057
Mailing Address - Street 1:705 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-3912
Mailing Address - Country:US
Mailing Address - Phone:512-380-7057
Mailing Address - Fax:
Practice Address - Street 1:705 E 43RD ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-3912
Practice Address - Country:US
Practice Address - Phone:512-380-7057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty