Provider Demographics
NPI:1588078257
Name:SOTOLONGO-GREWAL, ANGELA EDDA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:EDDA
Last Name:SOTOLONGO-GREWAL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:SOTOLONGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:4807 SPICEWOOD SPRINGS RD STE 1120
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8435
Mailing Address - Country:US
Mailing Address - Phone:737-326-0393
Mailing Address - Fax:512-617-7443
Practice Address - Street 1:4807 SPICEWOOD SPRINGS RD STE 1120
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8435
Practice Address - Country:US
Practice Address - Phone:737-326-0393
Practice Address - Fax:512-617-7443
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist