Healthcare Provider Details

I. General information

NPI: 1427204213
Provider Name (Legal Business Name): ANGELA DEKEE SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16250 KNOLL TRAIL DR STE 101
DALLAS TX
75248-2868
US

IV. Provider business mailing address

PO BOX 835613
RICHARDSON TX
75083-5613
US

V. Phone/Fax

Practice location:
  • Phone: 214-679-3891
  • Fax: 972-668-5257
Mailing address:
  • Phone: 146-793-8912
  • Fax: 469-405-2994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number101966
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: