Provider Demographics
NPI:1376711606
Name:ROEL, MARIA (SLPASST)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ROEL
Suffix:
Gender:F
Credentials:SLPASST
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:ROEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLPASST
Mailing Address - Street 1:1729 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4356
Mailing Address - Country:US
Mailing Address - Phone:956-854-4069
Mailing Address - Fax:956-973-8972
Practice Address - Street 1:1729 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4356
Practice Address - Country:US
Practice Address - Phone:956-854-4069
Practice Address - Fax:956-973-8972
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337922355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33792OtherSTATE LICENSE NUBMER