Provider Demographics
NPI:1700261450
Name:ACUNA-NEELY, PAULA (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:ACUNA-NEELY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:FRANCISCA
Other - Last Name:STROMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:1702 SEARCY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4426
Mailing Address - Country:US
Mailing Address - Phone:210-413-1288
Mailing Address - Fax:
Practice Address - Street 1:13333 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2138
Practice Address - Country:US
Practice Address - Phone:210-812-3902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist