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NPI Code Detail

MEDICARE: MRS. EMILY WOOTEN M.A., CCC-SLP

MEDICARE: MRS. EMILY WOOTEN M.A., 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 Pathologist28239CA
2235Z00000XSpeech-Language Pathologist006941GA
3235Z00000XSpeech-Language Pathologist115210TX

General Provider Information

NPI Number : 1134430879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY WOOTEN M.A., CCC-SLP
Provider Business Mailing Address
First Line : 18706 S COLONY SHORE DR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-2484
Country : US
Telephone Number : 404-670-9983
Fax Number :
Provider Business Practice Location Address
First Line : 10300 JONES RD
Second Line :
City : HOUSTON
State : TX
Zip : 77065-4208
Country : US
Telephone Number : 281-897-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2010
Last Update Date : 09/22/2022

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Directions to “ MRS. EMILY WOOTEN M.A., CCC-SLP” Practice Location

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