Provider Demographics
NPI:1831439959
Name:ESCOBAR, MARLEENA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARLEENA
Middle Name:
Last Name:ESCOBAR
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 LAKE KEMP CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7945
Mailing Address - Country:US
Mailing Address - Phone:830-703-0232
Mailing Address - Fax:
Practice Address - Street 1:4319 LAKE KEMP CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7945
Practice Address - Country:US
Practice Address - Phone:830-703-0232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24940235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist