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NPI Code Detail

MEDICARE: ANDREA S. NASH M.S., CCC-SLP

MEDICARE:   ANDREA S. NASH  M.S., 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 Pathologist14762TX

Other Identifiers

General Provider Information

NPI Number : 1538474747
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA S. NASH M.S., CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 1947
Second Line :
City : LINDALE
State : TX
Zip : 75771-1947
Country : US
Telephone Number : 903-316-2198
Fax Number : 903-881-8643
Provider Business Practice Location Address
First Line : 2808 S MAIN ST STE I
Second Line :
City : LINDALE
State : TX
Zip : 75771-7854
Country : US
Telephone Number : 903-316-2198
Fax Number : 844-903-4660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 10/23/2024

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Directions to “ ANDREA S. NASH M.S., CCC-SLP” Practice Location

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