Provider Demographics
NPI:1336307719
Name:VELOZ, IRMA LINDA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:IRMA
Middle Name:LINDA
Last Name:VELOZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LOMA BLANCA ST
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-4182
Mailing Address - Country:US
Mailing Address - Phone:956-424-3646
Mailing Address - Fax:956-580-2311
Practice Address - Street 1:44017 MILE 4 RD
Practice Address - Street 2:
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-1914
Practice Address - Country:US
Practice Address - Phone:956-580-2310
Practice Address - Fax:956-580-2311
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100207235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316226939Medicaid
TX197725802Medicaid
TX197725803Medicaid