Provider Demographics
NPI:1184743585
Name:SNEED, ELSA G (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:G
Last Name:SNEED
Suffix:
Gender:F
Credentials:MS,CCC-SLP
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 598
Mailing Address - Street 2:
Mailing Address - City:BEN BOLT
Mailing Address - State:TX
Mailing Address - Zip Code:78342-0598
Mailing Address - Country:US
Mailing Address - Phone:361-396-1351
Mailing Address - Fax:
Practice Address - Street 1:1713 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4047
Practice Address - Country:US
Practice Address - Phone:361-396-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18759235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist