Provider Demographics
NPI:1174842975
Name:DELEON, SYLVIA R (LMSW-IPR)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:R
Last Name:DELEON
Suffix:
Gender:F
Credentials:LMSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7451
Mailing Address - Country:US
Mailing Address - Phone:254-743-1378
Mailing Address - Fax:254-743-2433
Practice Address - Street 1:701 E WHITESTONE BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6944
Practice Address - Country:US
Practice Address - Phone:512-260-1368
Practice Address - Fax:254-743-2433
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker