Lacey Paulett Anderson
Individual provider Active NPI Speech-Language Pathologist · Burleson, TX
NPI 1275019671 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1275019671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 112807 (TX)
- Practice address
- 1101 Whispering Spring CT
Burleson, TX 76028 - Phone
- (817) 944-4710
- NPI assigned
- Jul 18, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112807 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 112807 | TX | Yes |
Addresses
Primary practice location
1101 Whispering Spring CT
Burleson, TX 76028
Mailing address
1101 Whispering Spring CT
Burleson, TX 76028-1059
Phone (817) 944-4710
Other practice location 1
212 NW Lorna St Ste 103
Burleson, TX 76028-4110
Phone (817) 888-8454
Other providers in Burleson, TX
- Alex Picton Ampoe
- An'Cor Home Health Group, Inc
- Aubrey Ciara Anderson
- Keasya Anderson
- Keith Anderson
- Madelyn Anderson
- Sherrell Anderson
- Mukhtar Anees
- Angelo Vu DO PA
- Marcella Rene Anthony
All providers in Burleson, 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 May 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.