MEDICARE: CLARITY DYSPHAGIA SOLUTIONS 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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1376491712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY DYSPHAGIA SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	25806 PEREGRINE RDG
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-3588
Country	:	US
Telephone Number	:	210-218-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	25806 PEREGRINE RDG
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-3588
Country	:	US
Telephone Number	:	210-218-8754
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE CHRISTIANSEN
Credential	:	SLP
Telephone Number	:	210-218-8754

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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