Basic Information
Provider Information
NPI: 1457593527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORREZ
FirstName: VEANNE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 202 SADDLE RIDGE DR
Address2:  
City: CEDAR PARK
State: TX
PostalCode: 786137477
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 9607 RESEARCH BLVD
Address2: STE 675
City: AUSTIN
State: TX
PostalCode: 787595691
CountryCode: US
TelephoneNumber: 5125279608
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2009
LastUpdateDate: 04/03/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X103403TXY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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