Provider Demographics
NPI:1851876569
Name:ALMAZAN, MARIA ABIGAIL (SLPA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ABIGAIL
Last Name:ALMAZAN
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 FRESNO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-2102
Mailing Address - Country:US
Mailing Address - Phone:956-720-1417
Mailing Address - Fax:
Practice Address - Street 1:1525 E 6TH ST STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4667
Practice Address - Country:US
Practice Address - Phone:956-969-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX367202355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1609013689Medicaid