Healthcare Provider Details
I. General information
NPI: 1992536312
Provider Name (Legal Business Name): CADENCE MARIE REED-BIPPEN MS-CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3944 RANCH ROAD 620 S STE 206
BEE CAVE TX
78738-7000
US
IV. Provider business mailing address
903 E 16TH ST
AUSTIN TX
78702-1028
US
V. Phone/Fax
- Phone: 512-645-8009
- Fax:
- Phone: 636-448-1523
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 122674 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: