Provider Demographics
NPI:1639457443
Name:DELCUADRO, ARIEL D (SLP-CCC)
Entity Type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:D
Last Name:DELCUADRO
Suffix:
Gender:M
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E LOS EBANOS BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8482
Mailing Address - Country:US
Mailing Address - Phone:956-622-5059
Mailing Address - Fax:956-554-0540
Practice Address - Street 1:425 E LOS EBANOS BLVD STE 109
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8482
Practice Address - Country:US
Practice Address - Phone:956-622-5059
Practice Address - Fax:956-554-0540
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist