Adrian Ray Peevy, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Llano, TX
NPI 1063973337 · NPPES record last updated Mar 28, 2019
Key facts
- NPI
- 1063973337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 104151 (TX)
- Practice address
- 1202 Mulberry St
Llano, TX 78643-2423 - Phone
- (210) 365-2184
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104151 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 104151 | TX | Yes |
Addresses
Primary practice location
1202 Mulberry St
Llano, TX 78643-2423
Mailing address
1202 Mulberry St
Llano, TX 78643-2423
Phone (210) 365-2184
Other providers in Llano, TX
- Nightingale Nursing Services
- Valerie Ozanne
- Parrish Family & Cosmetic Dentistry, LLP
- Charles William Parrish
- Jennifer Elliott Parrish
- James Michael Peevy
- Sandra K Peters
- Dana Rose Pocasangre
- Janice L Pruessner
- Brenda Raiford
All providers in Llano, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.