NPI age
17 years
Enumerated 2009-03-05
Across 18055 active speech-language pathologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 09894354 | STATE OF TEXAS DRIVERS LICENSE |
| 01 | 13562404 | CAQH |
| 01 | 14101180 | ASHA CERTIFICATION NUMBER |
| 05 (TX) | 1Z0625 | |
| 01 (TX) | 110687 | STATE OF TEXAS SLP LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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