Christen Myers, M.S., CCC-SLP

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

NPI 1780138362 · NPPES record last updated Aug 11, 2016

Key facts

NPI
1780138362
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
19997 (TX)
Practice address
2730 Country Club Rd Ste G
Lucas, TX 75002-8781
Phone
(972) 838-6240
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
19997TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyla M. Slaughter Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19997 TX Yes

Addresses

Primary practice location

2730 Country Club Rd Ste G
Lucas, TX 75002-8781

Mailing address

2730 Country Club Rd Ste G
Lucas, TX 75002-8781

Other providers in Lucas, TX

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

Sources for this page

Verify at the official NPI Registry.