Individual ProviderCelia Dominguez-AndersonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165(512) 615-6809PECOS EnrollmentBased on the most recent information from CMS, provider Celia Dominguez-Anderson 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 9:43 AM.Profile DetailsProvider ID1982949582Provider TypeIndividualFull NameDominguez-Anderson, CeliaCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date12/7/2012Last Updated12/7/2012Contact InformationPractice LocationPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 615-6809Fax(512) 476-1638Mailing LocationMailing Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 615-6809Fax(512) 476-1638Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense108378Texas