MEDICARE: MRS. SHIRLEY ARNTZEN SWEENEY SPEECH/LANGUAGE PATH

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	12394	TX

General Provider Information

NPI Number	:	1982850061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHIRLEY ARNTZEN SWEENEY SPEECH/LANGUAGE PATH

Provider Business Mailing Address
First Line	:	6514 MESA CANYON CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-8787
Country	:	US
Telephone Number	:	281-829-9287
Fax Number	:

Provider Business Practice Location Address
First Line	:	6514 MESA CANYON CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-8787
Country	:	US
Telephone Number	:	281-829-9287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	08/08/2008

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Directions to “ MRS. SHIRLEY ARNTZEN SWEENEY SPEECH/LANGUAGE PATH” Practice Location

Language	Start Address	Practice Location

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