Provider Demographics
NPI:1699254946
Name:CORTEZ, VALERIE ANN (MS SLP-CCC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MOSS
Mailing Address - Street 2:
Mailing Address - City:ODEM
Mailing Address - State:TX
Mailing Address - Zip Code:78370-4427
Mailing Address - Country:US
Mailing Address - Phone:361-389-2282
Mailing Address - Fax:
Practice Address - Street 1:1 OWL SQ
Practice Address - Street 2:
Practice Address - City:ODEM
Practice Address - State:TX
Practice Address - Zip Code:78370-4388
Practice Address - Country:US
Practice Address - Phone:361-368-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112924235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist