Provider Demographics
NPI:1851888713
Name:NIGO, CELINA J (BS, SLP-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:J
Last Name:NIGO
Suffix:
Gender:F
Credentials:BS, SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 SHORT ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-2942
Mailing Address - Country:US
Mailing Address - Phone:214-475-7528
Mailing Address - Fax:
Practice Address - Street 1:833 SHORT ST
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-2942
Practice Address - Country:US
Practice Address - Phone:214-475-7528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX384342355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant