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NPI Code Detail

MEDICARE: MRS. ALYSON BETH EPSTEIN M.S. CCC-SLP

MEDICARE: MRS. ALYSON BETH EPSTEIN M.S. CCC-SLP
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 Pathologist101172TX

General Provider Information

NPI Number : 1710039052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALYSON BETH EPSTEIN M.S. CCC-SLP
Provider Business Mailing Address
First Line : 3818 HOLLAND AVE.
Second Line : UNIT 102
City : DALLAS
State : TX
Zip : 75219
Country : US
Telephone Number : 973-365-3662
Fax Number :
Provider Business Practice Location Address
First Line : 2535 LONE STAR DR
Second Line :
City : DALLAS
State : TX
Zip : 75212-6313
Country : US
Telephone Number : 214-467-9787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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