MEDICARE: INSPIRE 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1609221399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRE SPEECH THERAPY, PLLC

Provider Business Mailing Address
First Line	:	3111 VAQUERO PASS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-2830
Country	:	US
Telephone Number	:	512-736-5148
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 VAQUERO PASS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-2830
Country	:	US
Telephone Number	:	512-736-5148
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	BELINDA F MONTZ
Credential	:	MA, CCC/SLP
Telephone Number	:	512-736-5148

Provider Enumeration Date	:	04/30/2016
Last Update Date	:	05/10/2016

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Directions to “INSPIRE SPEECH THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

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