Individual
ALYSSA R MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13333 BLANCO RD STE 310, SAN ANTONIO, TX 78216-7756
(210) 479-5875
(210) 479-2911
Mailing address
13333 BLANCO RD STE 310, SAN ANTONIO, TX 78216-7756
(210) 479-5875
(210) 479-2911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
123148
TX
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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