MEDICARE: HANNAH FAITH VALDIVIA 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	235Z00000X	Speech-Language Pathologist	124706	TX
2	2355S0801X	Speech-Language Assistant	43552	TX

General Provider Information

NPI Number	:	1508629346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH FAITH VALDIVIA SLPA

Provider Business Mailing Address
First Line	:	454 DYANEZ ST
Second Line	:
City	:	MERCEDES
State	:	TX
Zip	:	78570-4776
Country	:	US
Telephone Number	:	956-900-2141
Fax Number	:

Provider Business Practice Location Address
First Line	:	454 DYANEZ ST
Second Line	:
City	:	MERCEDES
State	:	TX
Zip	:	78570-4776
Country	:	US
Telephone Number	:	956-900-2141
Fax Number	:

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

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	01/07/2026

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Directions to “ HANNAH FAITH VALDIVIA SLPA” Practice Location

Language	Start Address	Practice Location

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