Provider Demographics
NPI:1518096320
Name:CONTRERAS, SYLVIA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 BESSEMER DR STE C
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5909
Mailing Address - Country:US
Mailing Address - Phone:915-633-1975
Mailing Address - Fax:855-633-1402
Practice Address - Street 1:1445 BESSEMER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5930
Practice Address - Country:US
Practice Address - Phone:915-633-1975
Practice Address - Fax:855-533-1402
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101530235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165643101Medicaid