Provider Demographics
NPI:1861001828
Name:MORALES, CELENE MARIE LAYDA (CF-SLP)
Entity type:Individual
Prefix:
First Name:CELENE MARIE
Middle Name:LAYDA
Last Name:MORALES
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 BARKER CYPRESS RD APT 15203
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8336
Mailing Address - Country:US
Mailing Address - Phone:956-240-1958
Mailing Address - Fax:
Practice Address - Street 1:401 E BLUE BELL RD
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-2407
Practice Address - Country:US
Practice Address - Phone:979-836-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117028235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist