Provider Demographics
NPI:1093924144
Name:CANTU, ERICA H (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:H
Last Name:CANTU
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 BRYCE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4311
Mailing Address - Country:US
Mailing Address - Phone:956-323-5500
Mailing Address - Fax:956-323-8172
Practice Address - Street 1:1201 BRYCE DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4311
Practice Address - Country:US
Practice Address - Phone:956-323-5500
Practice Address - Fax:956-323-8172
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist