Individual ProviderSalina D CantuSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4206 Retama Cir, Victoria, TX 77901-2765(361) 582-0611PECOS EnrollmentBased on the most recent information from CMS, provider Salina D Cantu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1841465457Provider TypeIndividualFull NameCantu, Salina DTitleMs.CredentialSTGenderFemaleSole ProprietorNoEnumeration Date4/24/2008Last Updated7/15/2009Contact InformationPractice LocationPractice Address4206 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0611Fax(361) 582-4978Mailing LocationMailing Address4206 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0611Fax(361) 582-4978Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense103994TexasProvider IdentifiersIDDescriptionIssuerID164704201DescriptionMedicaidIssuerUnlistedTexas