Individual
MRS. ANGIE CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1800 LEROY BONSE DR, EL PASO, TX 79936-4337
(915) 937-7223
Mailing address
1800 LEROY BONSE DR, EL PASO, TX 79936-4337
(915) 937-7223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
TX
Enumeration date
11/30/2021
Last updated
11/30/2021
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