Healthcare Provider Details

I. General information

NPI: 1992453963
Provider Name (Legal Business Name): BLUEBELL SPEECH AND LANGUAGE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4770 FORGET ME NOT RD
GILMER TX
75644-6130
US

IV. Provider business mailing address

4770 FORGET ME NOT RD
GILMER TX
75644-6130
US

V. Phone/Fax

Practice location:
  • Phone: 903-767-8315
  • Fax:
Mailing address:
  • Phone: 903-767-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMELIA HESSEL
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.H.SC., CCC-SLP
Phone: 903-767-8315