Provider Demographics
NPI:1497231971
Name:MUNOZ, ALEJANDRA ODETTE (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:ODETTE
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:ALEJANDRA
Other - Middle Name:ODETTE
Other - Last Name:MUNOZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLPA
Mailing Address - Street 1:756 N FM 2360
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-9726
Mailing Address - Country:US
Mailing Address - Phone:956-263-1129
Mailing Address - Fax:956-263-1270
Practice Address - Street 1:214 CHAPARRAL BLVD
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-4605
Practice Address - Country:US
Practice Address - Phone:956-317-1313
Practice Address - Fax:956-263-1270
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX354962355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant