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NPI Code Detail

MEDICARE: DARREN SPEED M.S. CCC-SLP

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
1235Z00000XSpeech-Language Pathologist102366TX

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

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