Healthcare Provider Details

I. General information

NPI: 1881839934
Provider Name (Legal Business Name): KELLY JEAN TOYE SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3550 HULEN ST STE D
FORT WORTH TX
76107-6808
US

IV. Provider business mailing address

14580 E BELTWOOD PKWY STE 109
FARMERS BRANCH TX
75244-3200
US

V. Phone/Fax

Practice location:
  • Phone: 817-377-2535
  • Fax: 817-292-0572
Mailing address:
  • Phone: 972-385-0006
  • Fax: 972-385-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number103319
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: