Corrie J Dyson, M.S.

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

NPI 1780705459 · NPPES record last updated Oct 14, 2010

Key facts

NPI
1780705459
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
101100 (TX)
Practice address
2201 Menard Hwy
Brady, TX 76825-7432
Phone
(325) 597-1580
Fax
(325) 597-1580
NPI assigned
Apr 2, 2007
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
101100TXMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 101100 TX Yes

Addresses

Primary practice location

2201 Menard Hwy
Brady, TX 76825-7432

Mailing address

110 W. College Avenue
Mason, TX 76856
Phone (214) 500-9365

Other providers in Brady, TX

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

Sources for this page

Verify at the official NPI Registry.