Individual
DARA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2425 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6675
(817) 442-0222
(817) 442-0223
Mailing address
2425 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6675
(817) 442-0222
(817) 442-0223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109220
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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