Provider Demographics
NPI:1801506761
Name:RGV SPEECH PATHOLOGY PLLC
Entity type:Organization
Organization Name:RGV SPEECH PATHOLOGY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:AREBALO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-844-1821
Mailing Address - Street 1:2704 BLUEBIRD AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4775
Mailing Address - Country:US
Mailing Address - Phone:956-884-1821
Mailing Address - Fax:956-265-1112
Practice Address - Street 1:2704 BLUEBIRD AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4775
Practice Address - Country:US
Practice Address - Phone:956-884-1821
Practice Address - Fax:956-265-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty