Provider Demographics
NPI:1437887999
Name:WHITE, ANNE LIZETTE MADRIGAL (BS, SLP ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:LIZETTE MADRIGAL
Last Name:WHITE
Suffix:
Gender:F
Credentials:BS, SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 DEEP SPRING PASS
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3064
Mailing Address - Country:US
Mailing Address - Phone:210-931-5888
Mailing Address - Fax:
Practice Address - Street 1:514 W QUINCY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5163
Practice Address - Country:US
Practice Address - Phone:210-931-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372412355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant