Provider Demographics
NPI:1245797562
Name:ALCALA, SKYLER MAREE (SLP - ASSISTANT)
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:MAREE
Last Name:ALCALA
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 1:227 E BAETZ BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3511
Mailing Address - Country:US
Mailing Address - Phone:210-501-8771
Mailing Address - Fax:
Practice Address - Street 1:227 E BAETZ BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-3511
Practice Address - Country:US
Practice Address - Phone:210-501-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX395142355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty