Individual
CRISTINA MARIE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
901 DISCOVERY BLVD, CEDAR PARK, TX 78613-2273
(512) 259-9993
Mailing address
2909 DANTE DR, CORPUS CHRISTI, TX 78415-2416
(362) 701-8284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105569
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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