Provider Demographics
NPI:1326559998
Name:DOMINGUEZ, ARACELI YARITZA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:YARITZA
Last Name:DOMINGUEZ
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 1:32323 RIVER BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-2238
Mailing Address - Country:US
Mailing Address - Phone:713-206-5526
Mailing Address - Fax:
Practice Address - Street 1:32323 RIVER BIRCH LN
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-2238
Practice Address - Country:US
Practice Address - Phone:713-206-5526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist