Provider Demographics
NPI:1144720764
Name:TINTO, VERONICA CAMILLE (SLP-A)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:CAMILLE
Last Name:TINTO
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:CAMILLE
Other - Last Name:TINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP-A
Mailing Address - Street 1:2800 E LEAGUE CITY PKWY APT 1108
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1508
Mailing Address - Country:US
Mailing Address - Phone:281-825-2784
Mailing Address - Fax:
Practice Address - Street 1:2800 E LEAGUE CITY PKWY APT 1108
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-1508
Practice Address - Country:US
Practice Address - Phone:281-825-2784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36404261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech