Provider Demographics
NPI:1881949527
Name:RUIZ, NANCY MELISSA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:MELISSA
Last Name:RUIZ
Suffix:
Gender:F
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 1:808 ESCANDON AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO VIEJO
Mailing Address - State:TX
Mailing Address - Zip Code:78575-9713
Mailing Address - Country:US
Mailing Address - Phone:956-204-9963
Mailing Address - Fax:956-204-9963
Practice Address - Street 1:808 ESCANDON AVE
Practice Address - Street 2:
Practice Address - City:RANCHO VIEJO
Practice Address - State:TX
Practice Address - Zip Code:78575-9713
Practice Address - Country:US
Practice Address - Phone:956-204-9963
Practice Address - Fax:956-204-9963
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107813235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist