MEDICARE: LAURA JEAN TRELA MCD. 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
1	235Z00000X	Speech-Language Pathologist	19705	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700027950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA JEAN TRELA MCD. CCC/SLP

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	2600 E PFLUGERVILLE PKWY BLDG 2
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-5998
Country	:	US
Telephone Number	:	512-654-6500
Fax Number	:	512-654-6501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	09/08/2025

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