Provider Demographics
NPI:1477304822
Name:EMPOWERED SPEECH & LANGUAGE THERAPY PLLC
Entity Type:Organization
Organization Name:EMPOWERED SPEECH & LANGUAGE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-262-3639
Mailing Address - Street 1:1900 N OREGON ST STE 420
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3348
Mailing Address - Country:US
Mailing Address - Phone:915-262-3604
Mailing Address - Fax:
Practice Address - Street 1:1900 N OREGON ST STE 420
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3348
Practice Address - Country:US
Practice Address - Phone:915-262-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty