Madison Diaz, MS-CCC, SLP

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

NPI 1649910779 · NPPES record last updated Aug 22, 2024

Key facts

NPI
1649910779
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
118249 (TX)
Practice address
7200 Spring Cypress Rd
Klein, TX 77379
Phone
(832) 249-4000
NPI assigned
Mar 29, 2022
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

State licenses

LicenseStateTypeSpecialty
118249TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 118249 TX Yes

Addresses

Primary practice location

7200 Spring Cypress Rd
Klein, TX 77379

Mailing address

7200 Spring Cypress Rd
Klein, TX 77379-3215
Phone (832) 249-4000

Other providers in Klein, TX

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

Sources for this page

Verify at the official NPI Registry.