Provider Demographics
NPI:1962988469
Name:TERAN-SAENZ, JESSICA S (SLPA)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:S
Last Name:TERAN-SAENZ
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:S
Other - Last Name:TERAN-SAENZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLPA
Mailing Address - Street 1:214 CHAPARRAL BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-4602
Mailing Address - Country:US
Mailing Address - Phone:956-317-1313
Mailing Address - Fax:956-263-1270
Practice Address - Street 1:214 CHAPARRAL BLVD STE D
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-4602
Practice Address - Country:US
Practice Address - Phone:956-317-1313
Practice Address - Fax:956-263-1270
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX356672355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant