Provider Demographics
NPI:1154292522
Name:A PEDIATRIC SPEECH SPECTRUM PLLC
Entity type:Organization
Organization Name:A PEDIATRIC SPEECH SPECTRUM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTINA
Authorized Official - Middle Name:GUAJARDO
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-726-3059
Mailing Address - Street 1:2616 CYPRESS SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6726
Mailing Address - Country:US
Mailing Address - Phone:361-726-3059
Mailing Address - Fax:
Practice Address - Street 1:2616 CYPRESS SPRINGS DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-6726
Practice Address - Country:US
Practice Address - Phone:361-726-3059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty