Provider Demographics
NPI:1083005201
Name:DE LEON, ANA GABRIELA (BS ASSISTANT SLP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:GABRIELA
Last Name:DE LEON
Suffix:
Gender:F
Credentials:BS ASSISTANT SLP
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Mailing Address - Street 1:3601 BUDDY OWENS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6447
Mailing Address - Country:US
Mailing Address - Phone:956-631-6200
Mailing Address - Fax:956-631-1117
Practice Address - Street 1:3601 BUDDY OWENS AVE STE 100
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6447
Practice Address - Country:US
Practice Address - Phone:956-631-6200
Practice Address - Fax:956-631-1117
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385252355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant