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NPI Code Detail

MEDICARE: MRS. MALINDA ANN ENNIS M.S. CCC-SLP

MEDICARE: MRS. MALINDA ANN ENNIS M.S. 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 Pathologist107056TX

General Provider Information

NPI Number : 1366386039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALINDA ANN ENNIS M.S. CCC-SLP
Provider Business Mailing Address
First Line : 90 E CANYON WREN CIR
Second Line :
City : SPRING
State : TX
Zip : 77389-4453
Country : US
Telephone Number : 713-935-6605
Fax Number :
Provider Business Practice Location Address
First Line : 90 E CANYON WREN CIR
Second Line :
City : SPRING
State : TX
Zip : 77389-4453
Country : US
Telephone Number : 713-935-6605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ MRS. MALINDA ANN ENNIS M.S. CCC-SLP” Practice Location

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