MANDIS TERRAZAS BROKER (NPI# 1891244000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891244000 |
| Entity Type | Individual |
| Full Name | MANDIS TERRAZAS BROKER |
| Credential | M.S., CCC-SLP |
| Practice Address |
3737 Cole Ave Apt. 103 Dallas TX 75204-1591 |
| Practice Telephone | 2103914200 |
| Mailing Telephone | 2103914200 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 110675 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
3737 COLE AVE APT. 103 |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-1591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215159660 | Anne Elizabeth Smith | Psychologist | 3737 Cole Ave, Apt. #110, Dallas, TX 75204-1591 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534086 | Anne Cuthbert Patten | Speech-Language Pathologist | 3532 Routh St, Dallas, TX 75219-4730 | 2020-10-05 |
| 1669079406 | Kamryn Kelley Miller | Speech-Language Pathologist | 10617 Estate Ln, Dallas, TX 75238-2214 | 2020-10-05 |
| 1417565532 | Charlene Samone Martin | Speech-Language Pathologist | 103 Due West Pass, Dallas, GA 30157-2545 | 2020-07-15 |
| 1710505698 | Madeline Michele Howell | Speech-Language Pathologist | 2535 Lone Star Drvie, Dallas, TX 75212 | 2020-07-08 |
| 1073131108 | Julia Brooke Kenney | Speech-Language Pathologist | 3223 Lemmon Ave Apt 5102, Dallas, TX 75204-1877 | 2020-07-06 |
| 1053935924 | Sarah Guigneaux | Speech-Language Pathologist | 6024 Gentle Knoll Ln, Dallas, TX 75248-2123 | 2020-06-05 |
| 1316560402 | Shane Mary Thomas | Speech-Language Pathologist | 17060 Dallas Pkwy Ste 105, Dallas, TX 75248-1905 | 2020-05-22 |
| 1841812518 | Alden Caroline Bauman | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy Ste 100, Dallas, TX 75243-1215 | 2020-05-15 |
| 1043832835 | Kacy Nicole Chapman | Speech-Language Pathologist | 8390 Lyndon B Johnson Fwy, Dallas, TX 75243-1188 | 2020-05-14 |
| 1437788643 | Lourdes Georgina Salinas | Speech-Language Pathologist | 2473 N Field St Apt 3014, Dallas, TX 75201-8208 | 2020-04-08 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.