Provider Demographics
NPI:1881865665
Name:PALOMO-MENDOZA, GRISELDA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:GRISELDA
Middle Name:
Last Name:PALOMO-MENDOZA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 COTTONWOOD
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6805
Mailing Address - Country:US
Mailing Address - Phone:830-278-3812
Mailing Address - Fax:
Practice Address - Street 1:900 N PICKFORD
Practice Address - Street 2:
Practice Address - City:SABINAL
Practice Address - State:TX
Practice Address - Zip Code:78881
Practice Address - Country:US
Practice Address - Phone:830-988-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist