Provider Demographics
NPI:1427779727
Name:AMPARAN, ARIADNA GISELLE
Entity type:Individual
Prefix:
First Name:ARIADNA
Middle Name:GISELLE
Last Name:AMPARAN
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 1:3220 SERENDIPITY ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-1624
Mailing Address - Country:US
Mailing Address - Phone:915-929-1232
Mailing Address - Fax:
Practice Address - Street 1:8509 FM 969 RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724-5769
Practice Address - Country:US
Practice Address - Phone:915-929-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120119235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist