Provider Demographics
NPI:1093294290
Name:HOLGUIN, PERLA A (SLP ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:PERLA
Middle Name:A
Last Name:HOLGUIN
Suffix:
Gender:F
Credentials:SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 TEXOMA ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-5193
Mailing Address - Country:US
Mailing Address - Phone:956-774-0727
Mailing Address - Fax:
Practice Address - Street 1:1501 TEXOMA ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-5193
Practice Address - Country:US
Practice Address - Phone:956-774-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty