Provider Demographics
NPI:1982964847
Name:VARON, PAOLA ALEXANDRA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:ALEXANDRA
Last Name:VARON
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 1:8118 FRY RD STE 1104
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7852
Mailing Address - Country:US
Mailing Address - Phone:281-758-8404
Mailing Address - Fax:832-220-9408
Practice Address - Street 1:8118 FRY RD STE 1104
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7852
Practice Address - Country:US
Practice Address - Phone:281-758-8404
Practice Address - Fax:832-220-9408
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX366192355S0801X
TX116762235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant