Provider Demographics
NPI:1477866630
Name:PINEDA-ANZLAUDA, ANITA MICHELLE
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:MICHELLE
Last Name:PINEDA-ANZLAUDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:MICHELLE
Other - Last Name:PINEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-0419
Mailing Address - Country:US
Mailing Address - Phone:956-825-5034
Mailing Address - Fax:
Practice Address - Street 1:1200 FLORIDA AVE.
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570
Practice Address - Country:US
Practice Address - Phone:568-255-0349
Practice Address - Fax:965-514-2029
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18732235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist