Provider Demographics
NPI:1891968947
Name:AMBRIZ, YVONNE (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:AMBRIZ
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 1:1515 CAPISTRANO DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3846
Mailing Address - Country:US
Mailing Address - Phone:956-495-9662
Mailing Address - Fax:
Practice Address - Street 1:1515 CAPISTRANO DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3846
Practice Address - Country:US
Practice Address - Phone:956-495-9662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24768235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist