Villa, Kendal C
Villa, Kendal C is an individual health care provider with primary practice located at 5606 N Navarro St Ste 200 , Victoria TX 77904-1758. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Villa, Kendal C can be contacted via phone (361) 220-6455.Contact Information
Primary practice address
5606 N Navarro St Ste 200
Victoria TX 77904-1758
Phone: (361) 220-6455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 103783 | Texas |
Profile Details
| NPI number | 1770790040 |
|---|---|
| LBN Legal business name | Villa, Kendal C |
| Credentials | CCC - SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Sep 8th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770790040 | NPPES |
| Texas | Other | 102906 | SPEECH LICENSE |
| Texas | MEDICAID | 164704201 | SPEECH LICENSE |
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