Provider Demographics
NPI:1750661088
Name:VEGA, FRANCINE R (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:R
Last Name:VEGA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 VALLEY FIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1550
Mailing Address - Country:US
Mailing Address - Phone:716-413-9012
Mailing Address - Fax:
Practice Address - Street 1:2630 VALLEY FIELD DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1550
Practice Address - Country:US
Practice Address - Phone:716-413-9012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018092-1235Z00000X
TX112143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist