Individual
ANGELICA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
5337 S PADRE ISLD HWY STE B, BROWNSVILLE, TX 78521-4409
(956) 831-7600
Mailing address
221 MORELOS AVE, RANCHO VIEJO, TX 78575-9514
(956) 455-3754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102359
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T7819
BCBS PROVIDER
—
Enumeration date
10/08/2008
Last updated
10/08/2008
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