MEDICARE: LAURA RODRIGUEZ GALEANO M.S. 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	2355S0801X	Speech-Language Assistant	35850	TX
2	235Z00000X	Speech-Language Pathologist	112891	TX

General Provider Information

NPI Number	:	1043570047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA RODRIGUEZ GALEANO M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	4231 MILLERS CREEK LN
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-2153
Country	:	US
Telephone Number	:	832-867-2203
Fax Number	:

Provider Business Practice Location Address
First Line	:	9941 ROWLETT RD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77075-3404
Country	:	US
Telephone Number	:	832-497-9175
Fax Number	:

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

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	02/03/2023

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