Provider Demographics
NPI:1053953679
Name:ARRIAGA, HECTOR GUSTAVO (SLP)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:GUSTAVO
Last Name:ARRIAGA
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 W BRUNEAU AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-3554
Mailing Address - Country:US
Mailing Address - Phone:509-579-2327
Mailing Address - Fax:
Practice Address - Street 1:1022 W BRUNEAU AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-3554
Practice Address - Country:US
Practice Address - Phone:509-579-2327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist