Provider Demographics
NPI:1447379417
Name:TORRES, PAMELA CAPPELLI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:CAPPELLI
Last Name:TORRES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 DUCK CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9392
Mailing Address - Country:US
Mailing Address - Phone:214-924-4016
Mailing Address - Fax:972-499-1334
Practice Address - Street 1:624 DUCK CREEK WAY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9392
Practice Address - Country:US
Practice Address - Phone:214-924-4016
Practice Address - Fax:972-499-1334
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24673235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist