Provider Demographics
NPI:1295550184
Name:NAVA, RUBY CLARISSE (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:RUBY
Middle Name:CLARISSE
Last Name:NAVA
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 1:148 DALEHURST DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2201
Mailing Address - Country:US
Mailing Address - Phone:956-607-4710
Mailing Address - Fax:
Practice Address - Street 1:12000 NETWORK BLVD STE 105A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3344
Practice Address - Country:US
Practice Address - Phone:914-444-0945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118744235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist