Provider Demographics
NPI:1942436050
Name:DURANTE, DACE ANITA
Entity Type:Individual
Prefix:
First Name:DACE
Middle Name:ANITA
Last Name:DURANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 CATHEY LANE
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-5957
Mailing Address - Country:US
Mailing Address - Phone:281-630-2443
Mailing Address - Fax:
Practice Address - Street 1:1405 EAST WASHINGTON
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-3240
Practice Address - Country:US
Practice Address - Phone:936-825-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist