Provider Demographics
NPI:1578718946
Name:LEON QUIROGA, SILVIA EDITH (SLP)
Entity Type:Individual
Prefix:MISS
First Name:SILVIA
Middle Name:EDITH
Last Name:LEON QUIROGA
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 1:26531 HYPATIA TRCE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3011
Mailing Address - Country:US
Mailing Address - Phone:718-916-3545
Mailing Address - Fax:
Practice Address - Street 1:26531 HYPATIA TRCE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3011
Practice Address - Country:US
Practice Address - Phone:718-916-3545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016784235Z00000X
TX117638235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist