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NPI Code Detail

MEDICARE: MRS. RACHEL ANN BETZEN M.A. CCC SLP

MEDICARE:  MRS. RACHEL ANN BETZEN  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
1235Z00000XSpeech-Language Pathologist101794TX

Other Identifiers

General Provider Information

NPI Number : 1194876755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL ANN BETZEN M.A. CCC SLP
Provider Business Mailing Address
First Line : 2621 GIBBS WILLIAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75233-3319
Country : US
Telephone Number : 214-274-7455
Fax Number : 214-432-5500
Provider Business Practice Location Address
First Line : 3235 W CAMP WISDOM RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-2605
Country : US
Telephone Number : 214-646-1570
Fax Number : 214-865-6644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 11/28/2023

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Directions to “ MRS. RACHEL ANN BETZEN M.A. CCC SLP” Practice Location

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