Individual
CELENE ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 EAGLE AERIE LN, ST PAUL, TX 75098-0259
(972) 429-2600
Mailing address
2000 EAGLE AERIE LN, ST PAUL, TX 75098-0259
(972) 429-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34118128
—
TX
Enumeration date
11/12/2021
Last updated
10/31/2022
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