MEDICARE: BEETLE AND HARE SPEECH, PLLC

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	:	1821980376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEETLE AND HARE SPEECH, PLLC

Provider Business Mailing Address
First Line	:	110 E 7TH ST STE 310
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-5767
Country	:	US
Telephone Number	:	737-710-8987
Fax Number	:	855-347-0113

Provider Business Practice Location Address
First Line	:	110 E 7TH ST STE 310
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-5767
Country	:	US
Telephone Number	:	737-710-8987
Fax Number	:	855-347-0113

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	SAMANTHA JAI JAEKEL
Credential	:	M.S., CCC-SLP
Telephone Number	:	737-710-8987

Provider Enumeration Date	:	07/18/2025
Last Update Date	:	05/29/2026

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