Individual provider · NPI-1

Yadai Avillaneda

Speech-Language Pathologist, · Cypress, TX

NPI number1962869610
StatusActive
Last updated in NPPESAug 15, 2024

Details

NPI
1962869610
Entity type
Individual (NPI-1)
Name
Yadai Avillaneda
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2016
Certification date
Aug 15, 2024
Last updated
Aug 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,111431TXYes

Practice location

11440 Matzke Rd
Cypress, TX 77429-5015

Phone 281-897-4000

Mailing address

11440 Matzke Rd
Cypress, TX 77429-5015

Phone 281-897-4000

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