MEDICARE: JENNIFER DENISE NOYOLA MS. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	34997	CA
2	235Z00000X	Speech-Language Pathologist	104438	TX

General Provider Information

NPI Number	:	1225260367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DENISE NOYOLA MS. CCC-SLP

Provider Business Mailing Address
First Line	:	1932 BAYLOR AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-5701
Country	:	US
Telephone Number	:	956-905-8558
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 S MASON RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3895
Country	:	US
Telephone Number	:	281-652-5200
Fax Number	:	818-357-2505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2009
Last Update Date	:	05/12/2026

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