Makenna Dewitz, CCC-SLP

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

NPI 1730065616 · NPPES record last updated Aug 14, 2025

Key facts

NPI
1730065616
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
122869 (TX)
Practice address
500 Zavala TRL
Whitehouse, TX 75791-3124
Phone
(936) 404-3273
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
No

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
122869TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 122869 TX Yes

Addresses

Primary practice location

500 Zavala TRL
Whitehouse, TX 75791-3124

Mailing address

2028 E Faulkner St
Tyler, TX 75701-5837
Phone (936) 404-3273

Other providers in Whitehouse, TX

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

Sources for this page

Verify at the official NPI Registry.