Healthcare Provider Details

I. General information

NPI: 1609527332
Provider Name (Legal Business Name): SONGBIRD PEDIATRIC THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 S PRESTON RD STE 20
PROSPER TX
75078-3529
US

IV. Provider business mailing address

250 S PRESTON RD STE 20
PROSPER TX
75078-3529
US

V. Phone/Fax

Practice location:
  • Phone: 214-843-1023
  • Fax:
Mailing address:
  • Phone: 214-843-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SNOOK
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 214-563-3884