A Place for Speech

Organization Active NPI Speech-Language Pathologist · Corpus Christi, TX

NPI 1366957987 · NPPES record last updated Oct 5, 2022

Key facts

NPI
1366957987
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
A PLACE FOR SPEECH
Practice address
4202 Hermosa Dr
Corpus Christi, TX 78411-4535
Phone
(361) 728-9192
Fax
(361) 334-1136
NPI assigned
Dec 5, 2017
Organization subpart
No

Authorized official

Name
Tracey L Siebold, MS, CCC/SLP, CED
Title
Provider
Phone
(361) 728-9192

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180220001755 TX Part B Supplier - Clinic/Group Practice 8426319112 Receives reassigned benefits from 3 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

4202 Hermosa Dr
Corpus Christi, TX 78411-4535

Mailing address

PO Box 271416
Corpus Christi, TX 78427-1416
Phone (361) 334-1136

Other providers in Corpus Christi, TX

All providers in Corpus Christi, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.