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NPI Code Detail

MEDICARE: YOLANDA ROSE ANDERSON CCC-SLP

MEDICARE: YOLANDA ROSE ANDERSON 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 Pathologist100888TX

General Provider Information

NPI Number : 1578721445
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA ROSE ANDERSON CCC-SLP
Provider Business Mailing Address
First Line : 1112 N FLOYD RD STE 9
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-4243
Country : US
Telephone Number : 972-470-5855
Fax Number : 972-470-5875
Provider Business Practice Location Address
First Line : 7323 WHISPERING PINES DR
Second Line :
City : DALLAS
State : TX
Zip : 75248-3059
Country : US
Telephone Number : 972-470-5855
Fax Number : 972-470-5875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 05/28/2008

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Directions to “ YOLANDA ROSE ANDERSON CCC-SLP” Practice Location

Language Start Address Practice Location
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