Provider Demographics
NPI:1063195980
Name:HERRERA, JULIA ANA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANA
Last Name:HERRERA
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 1:12304 ABBEY PARK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2792
Mailing Address - Country:US
Mailing Address - Phone:915-543-0145
Mailing Address - Fax:
Practice Address - Street 1:12304 ABBEY PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2792
Practice Address - Country:US
Practice Address - Phone:915-543-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118495235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist