MEDICARE: EMILY BELL 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	108699	TX

General Provider Information

NPI Number	:	1205717741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BELL M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	127 W BROAD ST STE 850
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-4394
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1999 LAKES OF WEDGEWOOD DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3252
Country	:	US
Telephone Number	:	936-463-6439
Fax Number	:

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

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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Directions to “ EMILY BELL M.A. CCC-SLP” Practice Location

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