Provider Demographics
NPI:1508325093
Name:ESPERANZA, BLANCA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BLANCA
Middle Name:
Last Name:ESPERANZA
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 1:1524 BOSQUE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-5304
Mailing Address - Country:US
Mailing Address - Phone:469-855-6847
Mailing Address - Fax:
Practice Address - Street 1:2601 NETWORK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9092
Practice Address - Country:US
Practice Address - Phone:972-372-6750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115451235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist