Provider Demographics
NPI:1184968380
Name:MONCALEANO, OLGA LUCIA (CCC-SLP-MS)
Entity type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:LUCIA
Last Name:MONCALEANO
Suffix:
Gender:F
Credentials:CCC-SLP-MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8127 EDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4099
Mailing Address - Country:US
Mailing Address - Phone:713-677-4650
Mailing Address - Fax:
Practice Address - Street 1:8127 EDENWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4099
Practice Address - Country:US
Practice Address - Phone:713-677-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist