Provider Demographics
NPI:1750862348
Name:BENAVIDES, ARIEL CRISTIN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ARIEL
Middle Name:CRISTIN
Last Name:BENAVIDES
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 1:3838 E SOUTHCROSS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3556
Mailing Address - Country:US
Mailing Address - Phone:210-581-2273
Mailing Address - Fax:
Practice Address - Street 1:3838 E SOUTHCROSS BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3556
Practice Address - Country:US
Practice Address - Phone:210-581-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-29
Deactivation Date:2018-08-22
Deactivation Code:
Reactivation Date:2018-08-29
Provider Licenses
StateLicense IDTaxonomies
TX113535235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist