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Contact Information

JULISSA G CAVAZOS, M.A. CCC-SLP
4963 AUGUSTA SQ
SAN ANTONIO, TX78247
 Phone: 956-821-2530
 Fax: 210-757-3600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JULISSA G CAVAZOS · (Female)

NPI Number 1407071574
Status Active
Credentials M.A. CCC-SLP
Entity Individual
Enumeration date 04/16/2007
Last updated 06/11/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 101388
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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