Healthcare Provider Details

I. General information

NPI: 1962758391
Provider Name (Legal Business Name): BUZY BEE SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 08/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 S DR EE DUNLAP ST
SAN DIEGO TX
78384-2802
US

IV. Provider business mailing address

204 S DR EE DUNLAP ST
SAN DIEGO TX
78384-2802
US

V. Phone/Fax

Practice location:
  • Phone: 361-664-5994
  • Fax:
Mailing address:
  • Phone: 361-664-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ROEL JAVIER JOSLIN
Title or Position: OWNER
Credential:
Phone: 361-664-5994