Individual
DEANNA LONGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3463 MAGIC DR STE 255, SAN ANTONIO, TX 78229-2998
(210) 582-5840
(210) 582-5841
Mailing address
3463 MAGIC DR STE 255, SAN ANTONIO, TX 78229-2998
(210) 582-5840
(210) 582-5841
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107027
TX
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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