Susan Kay Jacinto

Individual provider Active NPI Speech-Language Pathologist · Ferris, TX

NPI 1295459642 · NPPES record last updated Sep 29, 2022

Key facts

NPI
1295459642
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
301 E 5TH St
Ferris, TX 75125-2225
Phone
(972) 544-3858
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

301 E 5TH St
Ferris, TX 75125-2225

Mailing address

400 George Scott Rd
Italy, TX 76651-3691
Phone (972) 935-2187

Other providers in Ferris, TX

All providers in Ferris, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.