Provider Demographics
NPI:1295167740
Name:LOYA WARD, CLAUDIA L (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:L
Last Name:LOYA WARD
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:L
Other - Last Name:LOYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11611 CATCHFLY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-3426
Mailing Address - Country:US
Mailing Address - Phone:210-434-6711
Mailing Address - Fax:
Practice Address - Street 1:411 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-4617
Practice Address - Country:US
Practice Address - Phone:210-431-3938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist