Provider Demographics
NPI:1164727657
Name:REYNA, CECILIA NORMA (MS, SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:NORMA
Last Name:REYNA
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BAFFIN BAY
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1941
Mailing Address - Country:US
Mailing Address - Phone:956-645-9224
Mailing Address - Fax:
Practice Address - Street 1:301 BAFFIN BAY
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-1941
Practice Address - Country:US
Practice Address - Phone:956-645-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106172235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist