Provider Demographics
NPI:1407128390
Name:CHUO, MARIA TERRIQUEZ (MS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:TERRIQUEZ
Last Name:CHUO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:IMELDA
Other - Last Name:TERRIQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SLP CCC
Mailing Address - Street 1:48739 PEAR ST
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-8401
Mailing Address - Country:US
Mailing Address - Phone:760-391-8342
Mailing Address - Fax:
Practice Address - Street 1:48739 PEAR ST
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-8401
Practice Address - Country:US
Practice Address - Phone:760-391-8342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18455235Z00000X
CA14513235Z00000X
CA18387235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist