Provider Demographics
NPI:1932688835
Name:GARCIA, LEONOR (SLPA)
Entity Type:Individual
Prefix:
First Name:LEONOR
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1027
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-1027
Mailing Address - Country:US
Mailing Address - Phone:956-458-8505
Mailing Address - Fax:
Practice Address - Street 1:5346 EAST HIGHWAY 83 UNIT 2 BUILDING A
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-7858
Practice Address - Country:US
Practice Address - Phone:956-317-1282
Practice Address - Fax:956-317-1291
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX379672355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty