Provider Demographics
NPI:1790431435
Name:SACA, CLAIRE STEPHANIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:STEPHANIE
Last Name:SACA
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 1:13535 LYNDHURST ST APT 9102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-0092
Mailing Address - Country:US
Mailing Address - Phone:661-802-6664
Mailing Address - Fax:
Practice Address - Street 1:300 RYAN JORDAN LN
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4298
Practice Address - Country:US
Practice Address - Phone:512-570-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118003235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist