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NPI Code Detail

MEDICARE: TIME WISE SPEECH THERAPY PLLC

MEDICARE: TIME WISE SPEECH THERAPY PLLC
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 Pathologist

General Provider Information

NPI Number : 1215876107
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIME WISE SPEECH THERAPY PLLC
Provider Business Mailing Address
First Line : PO BOX 3195
Second Line :
City : SPRING
State : TX
Zip : 77383-3195
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6206 FLAGG RANCH DR
Second Line :
City : SPRING
State : TX
Zip : 77388-2620
Country : US
Telephone Number : 678-523-3256
Fax Number :
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : TASHALA QUICK
Credential : M.S. CCC-SLP
Telephone Number : 678-523-3256
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “TIME WISE SPEECH THERAPY PLLC ” Practice Location

Language Start Address Practice Location
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