Ally Antle, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Magnolia, TX
NPI 1609558063 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1609558063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 119758 (TX)
- Practice address
- 31141 Nichols Sawmill Rd
Magnolia, TX 77355-6032 - Phone
- (713) 822-5980
- NPI assigned
- Aug 4, 2023
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119758 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 119758 | TX | Yes |
Addresses
Primary practice location
31141 Nichols Sawmill Rd
Magnolia, TX 77355-6032
Mailing address
25715 Simbrah Dr
Magnolia, TX 77355-4385
Phone (530) 776-4903
Other names
- Ally Fleischhauer
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All providers in Magnolia, 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 Aug 4, 2023. 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.