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NPI Code Detail

MEDICARE: TERRIE POWER MS CCC/SLP

MEDICARE: TERRIE POWER MS CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist18586TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013675453
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRIE POWER MS CCC/SLP
Provider Business Mailing Address
First Line : 350 KELLER PKWY
Second Line :
City : KELLER
State : TX
Zip : 76248-2249
Country : US
Telephone Number : 817-744-1000
Fax Number :
Provider Business Practice Location Address
First Line : 350 KELLER PKWY
Second Line :
City : KELLER
State : TX
Zip : 76248-2249
Country : US
Telephone Number : 817-744-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2021
Last Update Date : 12/02/2021

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Directions to “ TERRIE POWER MS CCC/SLP” Practice Location

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