Individual
MRS. ANN MARIE REZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
836 E EXPRESSWAY 83, LA JOYA, TX 78560-4178
(956) 583-5000
(956) 583-5024
Mailing address
PO BOX 208, LA JOYA, TX 78560-0208
(956) 583-5000
(956) 583-5024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14000931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187198001
—
TX
Enumeration date
08/24/2007
Last updated
01/19/2012
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