Mandi Rae Senterfitt-Lowe, MS, CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Gorman, TX
NPI 1245539352 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1245539352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 24737 (TX)
- Practice address
- 501 Roosevelt Ave
Gorman, TX 76454 - Phone
- (254) 734-2020
- Fax
- (254) 734-3394
- NPI assigned
- Mar 15, 2011
- 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)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24737 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24737 | TX | Yes |
Addresses
Primary practice location
501 Roosevelt Ave
Gorman, TX 76454
Mailing address
410 E 22ND St
Cisco, TX 76437-5118
Phone (254) 433-0076
Other practice location 1
410 E 22nd St
Cisco, TX 76437-5118
Phone (254) 433-0076
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlowe@eastend.esc14.net | Direct |
Other providers in Gorman, TX
All providers in Gorman, 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 Sep 1, 2022. 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.