Provider Demographics
NPI:1881252799
Name:SAUCEDA, CIARA GABRIELLE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:GABRIELLE
Last Name:SAUCEDA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:CIARA
Other - Middle Name:
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8805 13TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-9709
Mailing Address - Country:US
Mailing Address - Phone:806-200-1213
Mailing Address - Fax:
Practice Address - Street 1:3006 78TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1814
Practice Address - Country:US
Practice Address - Phone:806-219-7057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist