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General NPI Number Information
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NPI Number | 1114781804
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Entity Type | Organization
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Legal Business Name | ANDERSON SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 4939 DE ZAVALA RD STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2001
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Country | US
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Telephone | 210-239-3103
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Fax | 214-785-3447
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Provider Business Mailing Address
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Address Line | 8911 GILL BRG
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City | SAN ANTONIO
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State | TX
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Zip | 78254-4912
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Country | US
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Telephone | 936-645-2500
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST / OWNER
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Name | MS. LAUREN ELIZABETH ANDERSON
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Credential |
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Telephone | 936-645-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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