Individual
BIANCA VANESSA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP, CDP
Contact information
Practice address
10323 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-4557
(210) 581-5372
Mailing address
7102 ANDTREE BLVD, SAN ANTONIO, TX 78250-3547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109989
TX
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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