Provider Demographics
NPI:1487337226
Name:AGUILAR, VICTORIA DANIELLE (SLP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:DANIELLE
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 CORAL HILLS RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3807
Mailing Address - Country:US
Mailing Address - Phone:915-603-8420
Mailing Address - Fax:
Practice Address - Street 1:3900 W 22ND LN APT 3F
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-5965
Practice Address - Country:US
Practice Address - Phone:915-603-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121207235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist