MEDICARE: CB SPEECH, 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1326851718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CB SPEECH, PLLC

Provider Business Mailing Address
First Line	:	458 EUCLID LN
Second Line	:
City	:	UHLAND
State	:	TX
Zip	:	78640-2709
Country	:	US
Telephone Number	:	832-922-1092
Fax Number	:

Provider Business Practice Location Address
First Line	:	458 EUCLID LN
Second Line	:
City	:	UHLAND
State	:	TX
Zip	:	78640-2709
Country	:	US
Telephone Number	:	832-922-1092
Fax Number	:

Authorized Official
Title or Position	:	CEO & FOUNDER
Name	:	CHRISTINA ANN BURNHAM
Credential	:	M.S. CCC-SLP
Telephone Number	:	512-765-4554

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/29/2025

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