Individual
ANNALISA ACQUAVIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP-CFY
Contact information
Practice address
6800 GATEWAY BLVD E, BLDG 4A, EL PASO, TX 79915-1040
(915) 779-7827
(915) 779-7829
Mailing address
6800 GATEWAY BLVD E, BLDG 4A, EL PASO, TX 79915-1040
(915) 779-7827
(915) 779-7829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112627
TX
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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