Provider Demographics
NPI:1215289673
Name:NAVARRO, GENEVIEVE
Entity type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RAINLILLY
Other - Middle Name:
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3613 EVERGLADE DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-1841
Mailing Address - Country:US
Mailing Address - Phone:956-463-2396
Mailing Address - Fax:
Practice Address - Street 1:3613 EVERGLADE DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-1841
Practice Address - Country:US
Practice Address - Phone:956-463-2396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX367352355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant