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Organization

LOGOPEDIA THERAPY CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DALIA I. GUTIERREZ MS,CCC,SLP (OWNER / MANAGER)
(956) 380-3400
Entity
Organization

Contact information

Practice address
3409 W STATE HIGHWAY 107, EDINBURG, TX 78539-2802
(956) 380-3400
(956) 380-3448
Mailing address
3409 W STATE HIGHWAY 107, EDINBURG, TX 78539-2802
(956) 380-3400
(956) 380-3448

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1060036
TX
225XP0200X
Pediatric Occupational Therapist
111342
TX
235Z00000X
Speech-Language Pathologist
102044
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1825424-02
TX
Enumeration date
07/09/2006
Last updated
10/15/2009
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