Provider Demographics
NPI:1548547854
Name:VILLARREAL, ANAI (BSSLP-ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:ANAI
Middle Name:
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:BSSLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:RIO HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78583-0062
Mailing Address - Country:US
Mailing Address - Phone:956-793-9328
Mailing Address - Fax:
Practice Address - Street 1:597 W SESAME DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8364
Practice Address - Country:US
Practice Address - Phone:956-793-9328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344252355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34425OtherSTATE BOARD OF EXAMINERS FOR SLP AND AUDIOLOGY