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NPI Code Detail

MEDICARE: MRS. DELANE DECAREAUX GAUSE MS, CCC, SLP

MEDICARE:  MRS. DELANE DECAREAUX GAUSE  MS, 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 Pathologist103514TX

General Provider Information

NPI Number : 1710127113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DELANE DECAREAUX GAUSE MS, CCC, SLP
Provider Business Mailing Address
First Line : 16835 DEER CREEK DR STE 120
Second Line :
City : SPRING
State : TX
Zip : 77379-5803
Country : US
Telephone Number : 281-379-4373
Fax Number : 281-655-0762
Provider Business Practice Location Address
First Line : 16835 DEER CREEK DR STE 120
Second Line :
City : SPRING
State : TX
Zip : 77379-5803
Country : US
Telephone Number : 281-379-4373
Fax Number : 281-655-0762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2009
Last Update Date : 02/24/2009

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Directions to “ MRS. DELANE DECAREAUX GAUSE MS, CCC, SLP” Practice Location

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