Provider Demographics
NPI:1477259968
Name:DELGADO, NYLEE LUZ
Entity Type:Individual
Prefix:
First Name:NYLEE
Middle Name:LUZ
Last Name:DELGADO
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:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:TORNILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79853-0734
Mailing Address - Country:US
Mailing Address - Phone:915-260-1298
Mailing Address - Fax:
Practice Address - Street 1:1307 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5522
Practice Address - Country:US
Practice Address - Phone:915-600-2069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX428422355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant