Speech Therapy of Prosper PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101707 Issued in TX

Legal business name

SPEECH THERAPY OF PROSPER PLLC

Practice address

670 N Preston Rd
Suite 2
Prosper, TX 75078-8761

Phone

(972) 346-8250

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Bowling

Title

Speech Language Pathologist

Phone

(972) 346-8250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1710374970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TABLE ROCK DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N PRESTON RD",
            "address_2": "SUITE 2",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788761",
            "telephone_number": "972-346-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY OF PROSPER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "972-346-8250"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sree Medicals PLLC (Prosper Primary Care)

• Speech-Language Pathologist in Prosper, TX
• Providers in Prosper, 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 Apr 24, 2015; 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.