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NPI Code Detail

MEDICARE: ELIZABETH LAYNE HULL CCC/SLP

MEDICARE:   ELIZABETH LAYNE HULL  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 Pathologist24769TX

General Provider Information

NPI Number : 1134574718
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LAYNE HULL CCC/SLP
Provider Business Mailing Address
First Line : 6724 RAVENDALE LN
Second Line :
City : DALLAS
State : TX
Zip : 75214-2511
Country : US
Telephone Number : 214-718-1993
Fax Number :
Provider Business Practice Location Address
First Line : 6724 RAVENDALE LN
Second Line :
City : DALLAS
State : TX
Zip : 75214-2511
Country : US
Telephone Number : 214-718-1993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 05/02/2016

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Directions to “ ELIZABETH LAYNE HULL CCC/SLP” Practice Location

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