Provider Demographics
NPI:1649616202
Name:ALTUNA, ROXANNE
Entity type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:
Last Name:ALTUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1368 ELAINE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2809
Mailing Address - Country:US
Mailing Address - Phone:512-593-3296
Mailing Address - Fax:
Practice Address - Street 1:223 W ANDERSON LN
Practice Address - Street 2:A-115
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1131
Practice Address - Country:US
Practice Address - Phone:512-807-8955
Practice Address - Fax:866-561-4982
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115790235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist