Healthcare Provider Details

I. General information

NPI: 1144137308
Provider Name (Legal Business Name): YIJIA ZHENG MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 CANYON FALLS RD
ARGYLE TX
76226-4542
US

IV. Provider business mailing address

1507 PECOS DR
SOUTHLAKE TX
76092-5919
US

V. Phone/Fax

Practice location:
  • Phone: 940-464-7241
  • Fax:
Mailing address:
  • Phone: 734-291-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number120706
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: