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Individual
MRS. MARICARMEN DE LA CRUZ
Active
Individual
MRS. MARICARMEN DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109917
TX
235Z00000X
Speech-Language Pathologist
545
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109917
STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
TX
05
—
337738401
—
TX
01
—
545
PROFESSIONAL LICENSE
PR
01
—
8ES496
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/15/2009
Last updated
01/30/2026
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