Provider Demographics
NPI:1235817362
Name:DE LA O, ZEYDA LEE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ZEYDA
Middle Name:LEE
Last Name:DE LA O
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-8521
Mailing Address - Country:US
Mailing Address - Phone:956-437-2452
Mailing Address - Fax:
Practice Address - Street 1:10 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-8521
Practice Address - Country:US
Practice Address - Phone:956-437-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83036101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health