Provider Demographics
NPI:1750868832
Name:BRANUM, LILIA AURORA (SLP- ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:LILIA
Middle Name:AURORA
Last Name:BRANUM
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 1:7091 LAGO VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-4037
Mailing Address - Country:US
Mailing Address - Phone:956-640-1918
Mailing Address - Fax:
Practice Address - Street 1:35 BUSINESS DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521
Practice Address - Country:US
Practice Address - Phone:956-517-1235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX379222355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant