Individual
ASHIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-3801
(903) 525-3858
Mailing address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-3801
(903) 525-3858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41130
—
TX
Enumeration date
10/02/2019
Last updated
10/02/2019
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