Provider Demographics
NPI:1881312775
Name:GARZA, DANIELA ALEJANDRA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:ALEJANDRA
Last Name:GARZA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8157 MILREDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-5221
Mailing Address - Country:US
Mailing Address - Phone:832-549-4255
Mailing Address - Fax:
Practice Address - Street 1:8157 MILREDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-5221
Practice Address - Country:US
Practice Address - Phone:832-549-4255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-17
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist