MEDICARE: CRISTEN N BROPHY 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
1	235Z00000X	Speech-Language Pathologist	112862	TX
2	235Z00000X	Speech-Language Pathologist	SP4198	ME
3	235Z00000X	Speech-Language Pathologist	30004331	NC
4	235Z00000X	Speech-Language Pathologist	2202011987	VA
5	235Z00000X	Speech-Language Pathologist	3232	NH

General Provider Information

NPI Number	:	1790425163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTEN N BROPHY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	690 E. LAMAR BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011
Country	:	US
Telephone Number	:	682-867-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 E. LAMAR BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011
Country	:	US
Telephone Number	:	682-867-0800
Fax Number	:

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

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	12/11/2025

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Directions to “ CRISTEN N BROPHY M.S. CCC-SLP” Practice Location

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