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NPI Code Detail

MEDICARE: SPEECH BREAKTHROUGHS, PLLC

MEDICARE: SPEECH BREAKTHROUGHS, 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1639792013
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEECH BREAKTHROUGHS, PLLC
Provider Business Mailing Address
First Line : 3900 S STONEBRIDGE DR STE 604
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8051
Country : US
Telephone Number : 469-215-7669
Fax Number :
Provider Business Practice Location Address
First Line : 3900 S STONEBRIDGE DR STE 604
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8051
Country : US
Telephone Number : 469-215-7669
Fax Number :
Authorized Official
Title or Position : SPEECH PATHOLOGIST/OWNER
Name : COURTNEY MATHEWS
Credential :
Telephone Number : 469-215-7669
Provider Enumeration Date : 05/20/2020
Last Update Date : 07/20/2020

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Directions to “SPEECH BREAKTHROUGHS, PLLC ” Practice Location

Language Start Address Practice Location
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