Provider Demographics
NPI:1417403601
Name:PARTEN, ANNA LAURA (MSP, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LAURA
Last Name:PARTEN
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:LAURA
Other - Last Name:SOMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15316 HUEBNER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0994
Mailing Address - Country:US
Mailing Address - Phone:210-614-4567
Mailing Address - Fax:
Practice Address - Street 1:15316 HUEBNER RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0994
Practice Address - Country:US
Practice Address - Phone:210-614-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112057235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist