Provider Demographics
NPI:1598110371
Name:OLIVAR, FRANKIE (SLP)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:OLIVAR
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 1:10950 PELLICANO DR
Mailing Address - Street 2:BLDG B, STE B-2
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4616
Mailing Address - Country:US
Mailing Address - Phone:915-491-2033
Mailing Address - Fax:
Practice Address - Street 1:10950 PELLICANO DR
Practice Address - Street 2:BLDG B, STE B-2
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4616
Practice Address - Country:US
Practice Address - Phone:915-491-2033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111495235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist