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NPI Code Detail

MEDICARE: CHAT SPEECH AND LANGUAGE THERAPY SERVICES PLLC

MEDICARE: CHAT SPEECH AND LANGUAGE THERAPY SERVICES PLLC
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
12355S0801XSpeech-Language Assistant37590TX
2235Z00000XSpeech-Language Pathologist109915TX

General Provider Information

NPI Number : 1053770990
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAT SPEECH AND LANGUAGE THERAPY SERVICES PLLC
Provider Business Mailing Address
First Line : 12505A TURTLE ROCK RD
Second Line :
City : AUSTIN
State : TX
Zip : 78729-4803
Country : US
Telephone Number : 512-337-3049
Fax Number :
Provider Business Practice Location Address
First Line : 12505A TURTLE ROCK RD
Second Line :
City : AUSTIN
State : TX
Zip : 78729-4803
Country : US
Telephone Number : 512-337-3049
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : MS. AMELIA B DAVIS
Credential : CCC-SLP
Telephone Number : 206-251-0191
Provider Enumeration Date : 02/21/2016
Last Update Date : 02/21/2016

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Directions to “CHAT SPEECH AND LANGUAGE THERAPY SERVICES PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.