MEDICARE: EINSTEIN SPEECH THERAPY LLC

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	:	1811605124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EINSTEIN SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	7850 PARK FALLS CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-5486
Country	:	US
Telephone Number	:	707-799-9945
Fax Number	:

Provider Business Practice Location Address
First Line	:	1727 KELLER PKWY STE 19
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-3705
Country	:	US
Telephone Number	:	817-500-5895
Fax Number	:	817-646-5745

Authorized Official
Title or Position	:	OWNER/SPEECH-LANGUAGE PATHOLOGIST
Name	:	KATHERINE HINKLE
Credential	:
Telephone Number	:	707-799-9945

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	01/18/2024

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Directions to “EINSTEIN SPEECH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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