Provider Demographics
NPI:1528529088
Name:GUZMAN, ANGELA (SLP-A)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 E MILE 11 N
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-1537
Mailing Address - Country:US
Mailing Address - Phone:956-463-4726
Mailing Address - Fax:
Practice Address - Street 1:1525 E 6TH ST STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4667
Practice Address - Country:US
Practice Address - Phone:956-969-9400
Practice Address - Fax:956-969-9411
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387742355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286658401Medicaid