Individual
DANIEL IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
2602 S BELT LINE RD, GRAND PRAIRIE, TX 75052-5344
(915) 637-5177
Mailing address
1410 APACHE ST, ARLINGTON, TX 76012-4302
(915) 637-5177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112561
TX
Other
Enumeration date
09/24/2021
Last updated
06/17/2024
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