MRS. MARICARMEN DE LA CRUZ


Address: 4101 Sharondale Dr, Flower Mound, TX 75022-0957
Phone: 8179084909

MRS. MARICARMEN DE LA CRUZ (NPI# 1396972691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396972691
Entity Type Individual
Full Name MRS. MARICARMEN DE LA CRUZ
Credential MS CCC SLP
Practice Address 4101 Sharondale Dr
Flower Mound
TX 75022-0957
Practice Telephone 8179084909
Mailing Telephone 8179084909
Enumeration Date 2009-06-15
Last Update Date 2015-01-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 109917 TX Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist 545 PR Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PR PROFESSIONAL LICENSE 545 01
TX BLUE CROSS BLUE SHIELD 8ES496 01
TX 337738401 05
TX STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIO 109917 01

Office Location

Street Address 4101 SHARONDALE DR
City FLOWER MOUND
State TX
Zip Code 75022-0957

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NPI Name Taxonomy Address Enumeration
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1801398375 Lumincare Physician Group, Pa Family Medicine 2628 Long Prairie Road Suite 107, Flower Mound, TX 75022 2018-03-01
1861948572 Icarepros, LLC Home Health 4508 Cassandra Drive, Flower Mound, TX 75022 2016-09-01
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1689056863 Twila Michelle Farrar Counselor 1033 Long Prairie Road, Suite 4, Flower Mound, TX 75022 2015-06-24
1992186597 Kelly Fuller Lewis Pediatrics 3041 Churchill Dr Ste 300, Flower Mound, TX 75022 2015-06-09
1679989313 Uap Keller Endo, LLC Nurse Anesthetist, Certified Registered 1001 Surrey Lane, Flower Mound, TX 75022 2014-07-02
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881042992 Charissa Miller Speech-Language Pathologist 3208 Long Prairie Rd Ste D, Flower Mound, TX 75022-4960 2016-05-31
1891167466 Push Speech Services LLC Speech-Language Pathologist 4961 Long Prairie Rd Ste 110, Flower Mound, TX 75028-2794 2015-10-22
1306269998 Lindsay Henderson Speech-Language Pathologist 2900 Brookhollow Ln, Flower Mound, TX 75028-4699 2014-02-02
1467730838 Kimberly Ann Martin Speech-Language Pathologist 7350 Hawk Rd, Flower Mound, TX 75022-6266 2011-08-02
1790075497 Lesley Dyess Speech-Language Pathologist 6405 Blossom Trl, Flower Mound, TX 75028-2468 2011-04-14
1649423500 Beth D. Chapin Speech-Language Pathologist 4536 Brenda Dr, Flower Mound, TX 75022-0998 2008-10-23
1407045347 Comprehensive Testing & Therapy Center Speech-Language Pathologist 2250 Morriss Rd Ste 204, Flower Mound, TX 75028-3244 2007-10-16
1013121326 Elizabeth Durand Speech-Language Pathologist 4504 Halter Way, Flower Mound, TX 75028-3932 2007-05-09
1265587109 Sharon Kay Honnell Speech-Language Pathologist 2250 Morriss Rd, Suite 204, Flower Mound, TX 75028-3521 2007-01-23
1023658309 Jessica Susan Miner Speech-Language Pathologist 1001 Cross Timbers Rd Ste 1240, Flower Mound, TX 75028-8866 2020-01-14
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Competitor

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City FLOWER MOUND
Zip Code 75022

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Dataset Information

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.

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