MEDICARE: LITTLE DANDELION SPEECH AND FEEDING THERAPY

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	:	1689412330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE DANDELION SPEECH AND FEEDING THERAPY

Provider Business Mailing Address
First Line	:	9900 SHELBURNE RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-8522
Country	:	US
Telephone Number	:	972-213-4299
Fax Number	:

Provider Business Practice Location Address
First Line	:	9705 TEHAMA RIDGE PKWY STE 250
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-7526
Country	:	US
Telephone Number	:	972-213-4299
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	KARI PAUL
Credential	:	CCC-SLP, CLC
Telephone Number	:	972-213-4299

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	02/19/2026

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Directions to “LITTLE DANDELION SPEECH AND FEEDING THERAPY ” Practice Location

Language	Start Address	Practice Location

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