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NPI Code Detail

MEDICARE: DEANNA CRICK CCC-SLP

MEDICARE:   DEANNA  CRICK  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 Pathologist106167TX

General Provider Information

NPI Number : 1215377965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA CRICK CCC-SLP
Provider Business Mailing Address
First Line : 1006 W 22ND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1804
Country : US
Telephone Number : 713-254-9081
Fax Number :
Provider Business Practice Location Address
First Line : 6701 PINEMONT DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77092-3131
Country : US
Telephone Number : 832-209-7830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 06/26/2013

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Directions to “ DEANNA CRICK CCC-SLP” Practice Location

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