Organization Active NPI

Edu-Dula, Inc.

Doing business as The Pediatric Rehab Center

  • Speech-Language Pathologist
  • Longview, TX
National Provider Identifier
1265685580
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EDU-DULA, INC.
Doing business as
The Pediatric Rehab Center
Practice address
501 N Spur 63
Suite B3
Longview, TX 75601-5013
Phone
(903) 663-9946
Fax
(903) 663-5580
NPI assigned
Oct 30, 2008
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Leticia Laura Dula, M.A. CCC/SLPNPI 1023106564
Title
Owner
Phone
(903) 663-9946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TX Primary

Addresses

Primary practice location

501 N Spur 63
Suite B3
Longview, TX 75601-5013

Mailing address

PO Box 9388
Longview, TX 75608-9388
Phone (903) 663-9946

Other names 1

  • The Pediatric Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

501 N Spur 63
Ste B3
Longview, TX 75601
Phone (903) 663-9946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1265685580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9388",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756089388",
            "telephone_number": "903-663-9946",
            "fax_number": "903-663-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SPUR 63",
            "address_2": "SUITE B3",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015013",
            "telephone_number": "903-663-9946",
            "fax_number": "903-663-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDU-DULA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "DULA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-663-9946",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.