Provider Demographics
NPI:1578964292
Name:RINCON, ALEXANDRA (SLPA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:RINCON
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 1:3 HERMANN MUSEUM CIRCLE DR
Mailing Address - Street 2:6304
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7788
Mailing Address - Country:US
Mailing Address - Phone:512-689-3568
Mailing Address - Fax:
Practice Address - Street 1:6666 HARWIN DR
Practice Address - Street 2:SUITE 460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2292
Practice Address - Country:US
Practice Address - Phone:713-429-1176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX380832355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant