Provider Demographics
NPI:1558748707
Name:PANDO, YOLANDA ROCIO (SLP)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:ROCIO
Last Name:PANDO
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 1:24606 CABIN LINE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4883
Mailing Address - Country:US
Mailing Address - Phone:281-299-4284
Mailing Address - Fax:
Practice Address - Street 1:24606 CABIN LINE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4883
Practice Address - Country:US
Practice Address - Phone:281-299-4284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist