Provider Demographics
NPI:1376946475
Name:VASQUEZ, CLAUDIA YVETTE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:YVETTE
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 S JACKSON RD STE 2AND3
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1588
Mailing Address - Country:US
Mailing Address - Phone:956-630-4440
Mailing Address - Fax:956-630-4447
Practice Address - Street 1:301 LORENALY DR STE A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4446
Practice Address - Country:US
Practice Address - Phone:956-350-6696
Practice Address - Fax:956-350-6604
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109951235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist