Provider Demographics
NPI:1083203699
Name:CENTRAL HEALTH THERAPY, PLLC
Entity Type:Organization
Organization Name:CENTRAL HEALTH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:FERNANDA
Authorized Official - Last Name:CENDEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-218-5466
Mailing Address - Street 1:4823 SHAVANO CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5890
Mailing Address - Country:US
Mailing Address - Phone:210-218-5466
Mailing Address - Fax:
Practice Address - Street 1:4823 SHAVANO CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5890
Practice Address - Country:US
Practice Address - Phone:210-218-5466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty