MEDICARE: CHILDRENS FEEDING 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
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1336928381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDRENS FEEDING THERAPY, PLLC

Provider Business Mailing Address
First Line	:	4417 INWOOD RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4417 INWOOD RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5008
Country	:	US
Telephone Number	:	925-209-4334
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	KRISTEN GAFFNEY
Credential	:	MS, CCC-SLP, CLC
Telephone Number	:	925-209-4334

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	09/27/2023

Similar Medicare Providers

1154644649 — TARRANT INJURY AND REHAB
Practice Location Address:

170 SYCAMORE SCHOOL RD
FORT WORTH, TX
76134-5008

Practice Phone: 817-615-8200
Practice Fax: 817-615-8203

1235657008 — GENESIS GARDENS, INC.
Practice Location Address:

174 SYCAMORE SCHOOL RD
FORT WORTH, TX
76134-5008

Practice Phone: 682-777-0277
Practice Fax:

1710034772 — DR. MARK S SANEMAN D.C.
Practice Location Address:

170 SYCAMORE SCHOOL RD
FT WORTH, TX
76134-5008

Practice Phone: 817-615-8200
Practice Fax: 817-615-8203

1831119304 — GGD, INC.
Practice Location Address:

201 AVERA DR
FORT VALLEY, GA
31030-5008

Practice Phone: 478-825-3317
Practice Fax: 478-825-5499

1376613570 — DR. MICHAEL WAYNE EARLY SR. M.D.
Practice Location Address:

201 AVERA DR
FORT VALLEY, GA
31030-5008

Practice Phone: 478-825-3317
Practice Fax: 478-825-5499

1205994985 — CYNDI ANDREA WILLIAMS-GREEN PHYSICIANASSISTANT
Practice Location Address:

201 AVERA DR
FORT VALLEY, GA
31030-5008

Practice Phone: 478-825-3317
Practice Fax: 478-825-5499

Directions to “CHILDRENS FEEDING THERAPY, PLLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.