NPI age
16 years
Enumerated 2009-06-15
Across 18055 active speech-language pathologist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8ES496 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 109917 | STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
| 05 (TX) | 337738401 | |
| 01 (PR) | 545 | PROFESSIONAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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