Provider Demographics
NPI:1831679059
Name:MORIN, CORAIMA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CORAIMA
Middle Name:
Last Name:MORIN
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 1:4603 JANICE DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-1166
Mailing Address - Country:US
Mailing Address - Phone:956-330-7778
Mailing Address - Fax:
Practice Address - Street 1:901 DISCOVERY BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2273
Practice Address - Country:US
Practice Address - Phone:512-259-9993
Practice Address - Fax:512-259-8262
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist