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NPI Code Detail

MEDICARE: TEXAS LANGUAGE LEARNING ALTERNATIVES

MEDICARE: TEXAS LANGUAGE LEARNING ALTERNATIVES
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 Pathologist14336TX

General Provider Information

NPI Number : 1104968908
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS LANGUAGE LEARNING ALTERNATIVES
Provider Business Mailing Address
First Line : 2011 W KOENIG LN
Second Line :
City : AUSTIN
State : TX
Zip : 78756-1131
Country : US
Telephone Number : 512-467-7006
Fax Number :
Provider Business Practice Location Address
First Line : 2011 W KOENIG LN
Second Line :
City : AUSTIN
State : TX
Zip : 78756-1131
Country : US
Telephone Number : 512-467-7006
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AMY CUNNINGHAM
Credential : CCC-SLP
Telephone Number : 512-467-7006
Provider Enumeration Date : 02/12/2007
Last Update Date : 08/22/2020

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1598970071 — MRS. ASHLEY SUZANNE RODGERS M.S., CCC-SLP
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1225207509 — VANESSA GAIL GONZALES MA, CCC-SLP
Practice Location Address:
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1215184627 — MRS. CEZANNE MCLOUGHLIN M.A.
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Directions to “TEXAS LANGUAGE LEARNING ALTERNATIVES ” 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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