MEDICARE: MS. PATRICIA ANNE LAMB M.A., 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	11628	TX

General Provider Information

NPI Number	:	1083391791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA ANNE LAMB M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	1420 PARLIAMENT ST
Second Line	:
City	:	BURKBURNETT
State	:	TX
Zip	:	76354-3127
Country	:	US
Telephone Number	:	940-337-0029
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N AVENUE D
Second Line	:
City	:	BURKBURNETT
State	:	TX
Zip	:	76354-3509
Country	:	US
Telephone Number	:	940-569-3326
Fax Number	:	940-569-3326

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

Provider Enumeration Date	:	07/04/2023
Last Update Date	:	07/04/2023

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Directions to “ MS. PATRICIA ANNE LAMB M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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