MEDICARE: MUELLER SPEECH 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	:	1750042339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUELLER SPEECH THERAPY

Provider Business Mailing Address
First Line	:	4709 BLUEBERRY TRL UNIT A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-5307
Country	:	US
Telephone Number	:	805-889-3422
Fax Number	:

Provider Business Practice Location Address
First Line	:	4709 BLUEBERRY TRL UNIT A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-5307
Country	:	US
Telephone Number	:	805-889-3422
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	LAURA K AMEZCUA
Credential	:	MS CCC-SLP
Telephone Number	:	805-889-3422

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	01/05/2022

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Directions to “MUELLER SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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