Jeana Bahl, MS, SLP

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

NPI 1790090173 · NPPES record last updated Aug 10, 2010

Key facts

NPI
1790090173
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
102678 (TX)
Practice address
231 Amanda CT
Murphy, TX 75094-3720
Phone
(972) 633-2885
NPI assigned
Aug 10, 2010
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102678TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 102678 TX Yes

Addresses

Primary practice location

231 Amanda CT
Murphy, TX 75094-3720

Mailing address

231 Amanda CT
Murphy, TX 75094-3720
Phone (972) 633-2885

Other providers in Murphy, TX

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

Sources for this page

Verify at the official NPI Registry.