MEDICARE: DARREN SPEED M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	102366	TX

General Provider Information

NPI Number	:	1003182247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARREN SPEED M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	6309 PINEHURST DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-0827
Country	:	US
Telephone Number	:	817-422-1413
Fax Number	:	817-656-5933

Provider Business Practice Location Address
First Line	:	6309 PINEHURST DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-0827
Country	:	US
Telephone Number	:	817-422-1413
Fax Number	:	817-656-5933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	03/30/2012

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Directions to “ DARREN SPEED M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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