MEDICARE: LAURA A VALLEJO

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	122790	TX

General Provider Information

NPI Number	:	1780522771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA A VALLEJO

Provider Business Mailing Address
First Line	:	501 SAINT CINDYS WAY
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-1171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9306 GREAT HILLS TRL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-7117
Country	:	US
Telephone Number	:	512-346-4900
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ LAURA A VALLEJO ” Practice Location

Language	Start Address	Practice Location

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