Provider Demographics
NPI:1669824710
Name:ZARATE, MARIA FERNANDA (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FERNANDA
Last Name:ZARATE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 E SAUNDERS ST
Mailing Address - Street 2:PLAZA 3
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5434
Mailing Address - Country:US
Mailing Address - Phone:956-791-4800
Mailing Address - Fax:956-791-4422
Practice Address - Street 1:3507 JAIME ZAPATA MEMORIAL HWY STE 7A
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4770
Practice Address - Country:US
Practice Address - Phone:956-753-5600
Practice Address - Fax:956-753-5608
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109099235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109099OtherSTATE LICENSE