Provider Demographics
NPI:1235020819
Name:VELASQUEZ, LINDA GABRIELA (SLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:GABRIELA
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4202 FOX TRL
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-3415
Mailing Address - Country:US
Mailing Address - Phone:512-905-3887
Mailing Address - Fax:
Practice Address - Street 1:401 SANTA FE WAY
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76501-4251
Practice Address - Country:US
Practice Address - Phone:512-905-3887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121707235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist