Provider Demographics
NPI:1891574315
Name:GARCIA, ADRIANA NICOLE (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:NICOLE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 UNIVERSITY BLVD APT 722
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1088
Mailing Address - Country:US
Mailing Address - Phone:832-597-0824
Mailing Address - Fax:
Practice Address - Street 1:301 GARNER PARK DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-7180
Practice Address - Country:US
Practice Address - Phone:512-570-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121285235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist