Provider Demographics
NPI:1134398118
Name:TREVINO-GARZA, CELESTE YVETTE (SLPA)
Entity type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:YVETTE
Last Name:TREVINO-GARZA
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 1:403 VIOLET ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-2327
Mailing Address - Country:US
Mailing Address - Phone:956-222-8809
Mailing Address - Fax:956-580-0702
Practice Address - Street 1:921 E MAIN AVE
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-0952
Practice Address - Country:US
Practice Address - Phone:956-580-0700
Practice Address - Fax:956-580-0702
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340712355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant