MEDICARE: CAROLINA SALDANA SLPA

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

General Provider Information

NPI Number	:	1114405362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA SALDANA SLPA

Provider Business Mailing Address
First Line	:	712 E CANELA AVE
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5477
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 E NOLANA LOOP STE H&I
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5838
Country	:	US
Telephone Number	:	956-502-5717
Fax Number	:

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

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	07/31/2018

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Directions to “ CAROLINA SALDANA SLPA” Practice Location

Language	Start Address	Practice Location

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