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NPI Code Detail

MEDICARE: TEKEISHA L LEE M.S., CCC-SLP

MEDICARE:   TEKEISHA L LEE  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 Pathologist106185TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1106185OTHERTXTEXAS SLP LICENSE NUMBER

General Provider Information

NPI Number : 1710247978
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEKEISHA L LEE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2610 N ALEXANDER DR
Second Line :
City : BAYTOWN
State : TX
Zip : 77520-3368
Country : US
Telephone Number : 281-420-4400
Fax Number :
Provider Business Practice Location Address
First Line : 2610 N ALEXANDER DR
Second Line :
City : BAYTOWN
State : TX
Zip : 77520-3368
Country : US
Telephone Number : 281-420-4520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2012
Last Update Date : 10/24/2022

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Directions to “ TEKEISHA L LEE M.S., CCC-SLP” Practice Location

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