Healthcare Provider Details

I. General information

NPI: 1770819005
Provider Name (Legal Business Name): SARAH MEJORADO SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2009
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 N 10TH ST
MCALLEN TX
78504-3104
US

IV. Provider business mailing address

7007 N 10TH ST
MCALLEN TX
78504-3104
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0475
  • Fax:
Mailing address:
  • Phone: 956-661-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number105063
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: