Provider Demographics
NPI:1548788607
Name:TREJO, GABRIELA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:TREJO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:TELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1201 N. JACKSON RD. STE. 900
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5764
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:
Practice Address - Street 1:1201 N. JACKSON RD. STE. 900
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5764
Practice Address - Country:US
Practice Address - Phone:956-661-0475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113992235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist