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NPI Code Detail

MEDICARE: MS. MARY ALICE ALVAREZ MA, SLP

MEDICARE: MS. MARY ALICE ALVAREZ MA, 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
1235Z00000XSpeech-Language Pathologist110344TX

General Provider Information

NPI Number : 1689602526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ALICE ALVAREZ MA, SLP
Provider Business Mailing Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-472-4357
Fax Number : 512-703-1394
Provider Business Practice Location Address
First Line : 1717 W 10TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78703-3907
Country : US
Telephone Number : 512-472-3142
Fax Number : 512-472-4008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 08/04/2014

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