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General NPI Number Information
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NPI Number | 1457931701
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Entity Type | Organization
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Legal Business Name | GONZALEZ-BRYSON SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 420 JOHNSON RD STE 101
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City | KELLER
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State | TX
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Zip | 76248-3461
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Country | US
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Telephone | 682-593-1659
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 334
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City | JUSTIN
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State | TX
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Zip | 76247-0334
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Country | US
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Telephone | 940-284-6225
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Fax |
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | JESSICA FEBE BRYSON
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Credential | SLP
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Telephone | 682-593-1659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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