Provider Demographics
NPI:1275824294
Name:EL PASO SPEECH & LANGUAGE SERVICE EXCELLENCE, INC.
Entity Type:Organization
Organization Name:EL PASO SPEECH & LANGUAGE SERVICE EXCELLENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAFUENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-600-2069
Mailing Address - Street 1:1527 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4736
Mailing Address - Country:US
Mailing Address - Phone:915-600-2069
Mailing Address - Fax:915-500-1875
Practice Address - Street 1:1527 BROWN ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4736
Practice Address - Country:US
Practice Address - Phone:915-600-2069
Practice Address - Fax:915-500-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty