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NPI Code Detail

MEDICARE: LACEY NOEL KNOWLES SLPA

MEDICARE:   LACEY NOEL KNOWLES  SLPA
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
12355S0801XSpeech-Language Assistant43294TX

General Provider Information

NPI Number : 1871427260
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACEY NOEL KNOWLES SLPA
Provider Business Mailing Address
First Line : 17802 MOUND RD APT 15110
Second Line :
City : CYPRESS
State : TX
Zip : 77433-0077
Country : US
Telephone Number : 346-744-5517
Fax Number :
Provider Business Practice Location Address
First Line : 5433 FRY RD APT 15110
Second Line :
City : KATY
State : TX
Zip : 77449-5595
Country : US
Telephone Number : 346-692-9527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ LACEY NOEL KNOWLES SLPA” 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.