Provider Demographics
NPI:1134521693
Name:STEPHANIE GURWITZ
Entity type:Organization
Organization Name:STEPHANIE GURWITZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GURWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-607-0778
Mailing Address - Street 1:1414 W ESPERANZA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3918
Mailing Address - Country:US
Mailing Address - Phone:956-607-0778
Mailing Address - Fax:956-587-0245
Practice Address - Street 1:1414 W ESPERANZA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3918
Practice Address - Country:US
Practice Address - Phone:956-607-0778
Practice Address - Fax:956-587-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17698235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty