Provider Demographics
NPI:1548761638
Name:GARZA, JESSICA (SLPA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:GARZA
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 1:1536 S CAGE BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6349
Mailing Address - Country:US
Mailing Address - Phone:956-926-9002
Mailing Address - Fax:
Practice Address - Street 1:1536 S CAGE BLVD STE 8
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6349
Practice Address - Country:US
Practice Address - Phone:956-926-9002
Practice Address - Fax:956-926-9002
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant