Provider Demographics
NPI:1285419481
Name:CONTRERAS, ARIANNA KEEGAN (SLP)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:KEEGAN
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 FOX HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-2357
Mailing Address - Country:US
Mailing Address - Phone:417-234-3797
Mailing Address - Fax:
Practice Address - Street 1:308 HORNET WAY
Practice Address - Street 2:
Practice Address - City:GATESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76528-2636
Practice Address - Country:US
Practice Address - Phone:254-865-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121696235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist