Pedi Pros Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16603 Issued in TX

Legal business name

PEDI PROS INC

Practice address

5640 Montana Ave
Ste G
El Paso, TX 79925-3329

Phone

(915) 633-8301

Fax

(915) 591-6696

NPI assigned

Oct 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa K Mann, MS CCC SLPNPI 1447360292

Title

President

Phone

(915) 633-8301

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Teresa Kathleen Mann, MS CCC SLP

  • Speech/Language/Hearing Specialist/Technologist
  • El Paso, TX
  • NPI 1447360292
  NPD (past) Authorized official
• Susan Gill Haddad, MS, CCC, SLP

  • Speech/Language/Hearing Specialist/Technologist
  • El Paso, TX
  • NPI 1083862338
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497845820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 MONTANA AVE",
            "address_2": "STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253329",
            "telephone_number": "915-633-8301",
            "fax_number": "915-591-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 MONTANA AVE",
            "address_2": "STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253329",
            "telephone_number": "915-633-8301",
            "fax_number": "915-591-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDI PROS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-633-8301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in El Paso, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.