Speech Pathways Therapy Center LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH PATHWAYS THERAPY CENTER LLC

Practice address

136 Old San Antonio Rd Ste 104
Boerne, TX 78006-3338

Phone

(830) 331-4128

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Leticia Adilene Canchola, M.S., CCC-SLPNPI 1649527805

Title

Speech-Language Pathologist

Phone

(830) 331-4128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leticia Canchola, SLP

  • Speech-Language Pathologist
  • McAllen, TX
  • NPI 1649527805
  NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1356059760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 22012213",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD SAN ANTONIO RD STE 104",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063338",
            "telephone_number": "830-331-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHWAYS THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "CANCHOLA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "ADILENE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "830-331-4128",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Boerne, TX
• Providers in Boerne, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.