Provider Demographics
NPI:1508629346
Name:VALDIVIA, HANNAH FAITH (SLPA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:FAITH
Last Name:VALDIVIA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 DYANEZ ST
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-4776
Mailing Address - Country:US
Mailing Address - Phone:956-900-2141
Mailing Address - Fax:
Practice Address - Street 1:454 DYANEZ ST
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4776
Practice Address - Country:US
Practice Address - Phone:956-900-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX435522355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant