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NPI Code Detail

MEDICARE: MRS. TASHALA K QUICK M.S. CCC-SLP

MEDICARE: MRS. TASHALA K QUICK 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 PathologistSLP006644GA
2235Z00000XSpeech-Language Pathologist112170TX

General Provider Information

NPI Number : 1881820066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TASHALA K QUICK M.S. CCC-SLP
Provider Business Mailing Address
First Line : 6206 FLAGG RANCH DR
Second Line :
City : SPRING
State : TX
Zip : 77388-2620
Country : US
Telephone Number : 678-523-3256
Fax Number :
Provider Business Practice Location Address
First Line : 16835 DEER CREEK DR STE 120
Second Line :
City : SPRING
State : TX
Zip : 77379-5803
Country : US
Telephone Number : 281-379-4373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2009
Last Update Date : 05/19/2019

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Directions to “ MRS. TASHALA K QUICK M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
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