Provider Demographics
NPI:1538645973
Name:ZARATE, MICHELLE (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:ZARATE
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:ZARATE
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 1:756 N FM 2360
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582
Practice Address - Country:US
Practice Address - Phone:956-263-1371
Practice Address - Fax:956-263-1270
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX361182355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant