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NPI Code Detail

MEDICARE: SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC.

MEDICARE: SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC.
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 Pathologist19322TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083087548
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC.
Provider Business Mailing Address
First Line : 12570 CLAY RD
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5593
Country : US
Telephone Number : 214-529-7582
Fax Number :
Provider Business Practice Location Address
First Line : 12570 CLAY RD
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5593
Country : US
Telephone Number : 214-529-7582
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KENDRA L SEVERS
Credential : SLP
Telephone Number : 214-529-7582
Provider Enumeration Date : 11/05/2015
Last Update Date : 11/05/2015

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Directions to “SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC. ” 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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