Provider Demographics
NPI:1922678671
Name:PARRA GARCIA, CARMEN JULIETA (SLPA)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:JULIETA
Last Name:PARRA GARCIA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:JULIETA
Other - Last Name:PARRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLPA
Mailing Address - Street 1:17200 TX 249
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064
Mailing Address - Country:US
Mailing Address - Phone:281-664-6900
Mailing Address - Fax:
Practice Address - Street 1:17200 TX-249 STE.150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064
Practice Address - Country:US
Practice Address - Phone:281-664-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-25
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX409972355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant