Provider Demographics
NPI:1659775369
Name:PADILLA, ZAY LORENS
Entity Type:Individual
Prefix:
First Name:ZAY LORENS
Middle Name:
Last Name:PADILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 S WESTGATE DR STE A
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6296
Mailing Address - Country:US
Mailing Address - Phone:956-351-5050
Mailing Address - Fax:956-351-5176
Practice Address - Street 1:512 S WESTGATE DR STE A
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-351-5050
Practice Address - Fax:956-351-5176
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363882355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant