MEDICARE: DALLAS READING AND LANGUAGE SERVICES, PC

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	101794	TX

General Provider Information

NPI Number	:	1760739858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS READING AND LANGUAGE SERVICES, PC

Provider Business Mailing Address
First Line	:	3235 W CAMP WISDOM RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2605
Country	:	US
Telephone Number	:	214-274-7455
Fax Number	:	214-865-6644

Provider Business Practice Location Address
First Line	:	3235 W CAMP WISDOM RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2605
Country	:	US
Telephone Number	:	214-274-7455
Fax Number	:	214-865-6644

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. RACHEL ANN BETZEN
Credential	:	CCC/SLP
Telephone Number	:	214-646-1570

Provider Enumeration Date	:	08/08/2012
Last Update Date	:	11/28/2023

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