Provider Demographics
NPI:1366906638
Name:KNEIP, NELVA DENISSE
Entity type:Individual
Prefix:
First Name:NELVA
Middle Name:DENISSE
Last Name:KNEIP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7127 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7668
Mailing Address - Country:US
Mailing Address - Phone:915-248-6283
Mailing Address - Fax:
Practice Address - Street 1:7127 WESTOVER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7668
Practice Address - Country:US
Practice Address - Phone:915-248-6283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist