Provider Demographics
NPI:1124561097
Name:ZAPATA, SOFIA (SLP-A)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706A W BEN WHITE BLVD
Mailing Address - Street 2:#150A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7144
Mailing Address - Country:US
Mailing Address - Phone:512-441-5100
Mailing Address - Fax:512-441-5108
Practice Address - Street 1:706A W BEN WHITE BLVD
Practice Address - Street 2:#150A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7144
Practice Address - Country:US
Practice Address - Phone:512-441-5100
Practice Address - Fax:512-441-5108
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX397702355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant