Provider Demographics
NPI:1396182895
Name:ARELLANO, SYLVIA MORAYMA (SLP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MORAYMA
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6028 SURETY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2018
Mailing Address - Country:US
Mailing Address - Phone:915-771-8523
Mailing Address - Fax:915-771-8046
Practice Address - Street 1:6028 SURETY DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2018
Practice Address - Country:US
Practice Address - Phone:915-771-8523
Practice Address - Fax:915-771-8046
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107031235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX107031OtherTEXAS STATE BOARD OF EXAMINARS FOR SPEECH LANGUAGE AND AUDIOLOGY