MEDICARE: MISS SILVIA EDITH LEON QUIROGA 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	016784	NY
2	235Z00000X	Speech-Language Pathologist	117638	TX

General Provider Information

NPI Number	:	1578718946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SILVIA EDITH LEON QUIROGA SLP

Provider Business Mailing Address
First Line	:	26531 HYPATIA TRCE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3011
Country	:	US
Telephone Number	:	718-916-3545
Fax Number	:

Provider Business Practice Location Address
First Line	:	26531 HYPATIA TRCE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3011
Country	:	US
Telephone Number	:	718-916-3545
Fax Number	:

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

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	10/14/2022

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Directions to “ MISS SILVIA EDITH LEON QUIROGA SLP” Practice Location

Language	Start Address	Practice Location

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