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NPI Code Detail

MEDICARE: AMBER RENAE HALSELL

MEDICARE: AMBER RENAE HALSELL
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 Pathologist109024TX

General Provider Information

NPI Number : 1528548559
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER RENAE HALSELL
Provider Business Mailing Address
First Line : 3406 MAPLEDALE DR
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-6633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1960 BEDFORD RD
Second Line :
City : BEDFORD
State : TX
Zip : 76021-5722
Country : US
Telephone Number : 817-283-4771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ AMBER RENAE HALSELL ” 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.

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