Provider Demographics
NPI:1952583908
Name:MCARDLE RESENDEZ, PATRICE ALMA (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICE
Middle Name:ALMA
Last Name:MCARDLE RESENDEZ
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 1:5111 DORAL AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-6206
Mailing Address - Country:US
Mailing Address - Phone:956-433-9451
Mailing Address - Fax:
Practice Address - Street 1:4301 S EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7949
Practice Address - Country:US
Practice Address - Phone:956-423-4959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-02
Last Update Date:2007-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24849235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist