Provider Demographics
NPI:1437650132
Name:PEREZ, ELVA
Entity Type:Individual
Prefix:
First Name:ELVA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 DIAMOND AVE. STE 2
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560
Mailing Address - Country:US
Mailing Address - Phone:956-424-3646
Mailing Address - Fax:956-580-2311
Practice Address - Street 1:208 DIAMOND AVE. STE 2
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560
Practice Address - Country:US
Practice Address - Phone:956-424-3646
Practice Address - Fax:956-580-2311
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX364492355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant