Provider Demographics
NPI:1972721652
Name:DE LACRUZ, NORMA LINDA (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:NORMA LINDA
Middle Name:
Last Name:DE LACRUZ
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:MRS
Other - First Name:NORMA
Other - Middle Name:LINDA
Other - Last Name:DELACRUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH-LANGUAGE PATH
Mailing Address - Street 1:1010 S AIRPORT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6600
Mailing Address - Country:US
Mailing Address - Phone:956-969-9532
Mailing Address - Fax:956-969-9562
Practice Address - Street 1:1010 S AIRPORT DR
Practice Address - Street 2:SUITE B
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6600
Practice Address - Country:US
Practice Address - Phone:956-969-9532
Practice Address - Fax:956-969-9562
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist