Provider Demographics
NPI:1720408669
Name:GARCIA, JONATHAN (SLP-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BUSINESS DRIVE STE. D
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:956-541-6976
Mailing Address - Fax:866-945-9435
Practice Address - Street 1:35 BUSINESS DR STE D
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4587
Practice Address - Country:US
Practice Address - Phone:956-541-6976
Practice Address - Fax:866-945-9435
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366802355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant