Provider Demographics
NPI:1457985749
Name:REYES, ALIZMA ROXANN (SLP ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:ALIZMA
Middle Name:ROXANN
Last Name:REYES
Suffix:
Gender:F
Credentials:SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-2602
Mailing Address - Country:US
Mailing Address - Phone:956-230-3301
Mailing Address - Fax:956-391-2825
Practice Address - Street 1:526 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2602
Practice Address - Country:US
Practice Address - Phone:956-230-3301
Practice Address - Fax:956-391-2825
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX376082355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant