Provider Demographics
NPI:1841573383
Name:CHONZENA, LAREEN K (MS CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:LAREEN
Middle Name:K
Last Name:CHONZENA
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 1:1007 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-4500
Mailing Address - Country:US
Mailing Address - Phone:903-731-8033
Mailing Address - Fax:877-766-4987
Practice Address - Street 1:1007 E PARK AVE
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-4500
Practice Address - Country:US
Practice Address - Phone:765-309-7764
Practice Address - Fax:877-766-4987
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist