Our Lady of the Lake University
Our Lady of the Lake University is a Speech-Language Pathologist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
411 SW 24th StSan Antonio, TX 78207-4617
Phone: (210) 434-6711
Fax: (210) 434-9360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 11218 (TX) |
|---|
Record details
| NPI number | 1063622314 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Acevedo — Director · (210) 434-6711 |
| Other names | Harry Jerisg Center |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 411 Sw 24th St, San Antonio, TX 78207-4617 |
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