MEDICARE: COLE SPEECH & LANGUAGE CENTER, LP

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	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659435808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLE SPEECH & LANGUAGE CENTER, LP

Provider Business Mailing Address
First Line	:	16835 DEER CREEK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-4968
Country	:	US
Telephone Number	:	281-379-4373
Fax Number	:

Provider Business Practice Location Address
First Line	:	16835 DEER CREEK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-4968
Country	:	US
Telephone Number	:	281-379-4373
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ADAM COLE
Credential	:	MBA
Telephone Number	:	281-379-4373

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	05/19/2022

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Directions to “COLE SPEECH & LANGUAGE CENTER, LP ” Practice Location

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