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General NPI Number Information
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NPI Number | 1841683935
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Entity Type | Organization
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Legal Business Name | KATY SPEECH AND LANGUAGE
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 26622 COOK FIELD RD STE 200
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City | KATY
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State | TX
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Zip | 77494-2139
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Country | US
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Telephone | 281-766-3831
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Fax | 844-615-5271
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Provider Business Mailing Address
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Address Line | 26622 COOK FIELD RD STE 200
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City | KATY
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State | TX
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Zip | 77494-2139
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Country | US
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Telephone | 281-766-3831
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Fax | 844-615-5271
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | ALYSSA FAIRCHILD
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Credential | SLP
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Telephone | 281-766-3831
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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 | 104915
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License Number State | TX
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