Provider Demographics
NPI:1679899561
Name:L & J EVOLUTIONS, INC.
Entity Type:Organization
Organization Name:L & J EVOLUTIONS, INC.
Other - Org Name:THERAPY 4 ALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:956-655-4443
Mailing Address - Street 1:900 SUMMIT CIR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7055
Mailing Address - Country:US
Mailing Address - Phone:956-655-4443
Mailing Address - Fax:956-289-1133
Practice Address - Street 1:900 SUMMIT CIR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7055
Practice Address - Country:US
Practice Address - Phone:956-655-4443
Practice Address - Fax:956-289-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115282225X00000X
TX18202235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty