Provider Demographics
NPI:1184981672
Name:AGUILAR, SYLVIA SOCORRO (SLP)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:SOCORRO
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:HOLGUIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10616 CAUSEWAY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2806
Mailing Address - Country:US
Mailing Address - Phone:915-433-7338
Mailing Address - Fax:877-606-9254
Practice Address - Street 1:10616 CAUSEWAY DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2806
Practice Address - Country:US
Practice Address - Phone:915-433-7338
Practice Address - Fax:877-606-9254
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16029235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist