Theradat, LLC
Organization Active NPI Hearing and Speech Clinic/Center · Waco, TX
NPI 1801009733 · NPPES record last updated Aug 13, 2008
Key facts
- NPI
- 1801009733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing and Speech Clinic/Center 261QH0700X
- License
- 16247 (TX)
- Legal business name
- THERADAT, LLC
- Practice address
- 7545 Bosque Blvd
Waco, TX 76712-3713 - Phone
- (254) 722-6660
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Paula Andrea Nall, M.S., CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (254) 722-6660
Practitioners 12
-
Paula Nall, M.S. CCC-SLP
-
Melissa Able, M.S., CCC-SLP
-
Deborah Bainton, OTR
-
Courtney Broaddus, M.S.
-
Kristle Coulter-Soto, M.S.
-
Leslie Rose, M.S.
National Provider Directory
Locations
7545 Bosque Blvd
Waco, TX 76712
Phone (254) 235-1850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 16247 | TX | Yes |
Addresses
Primary practice location
7545 Bosque Blvd
Waco, TX 76712-3713
Mailing address
PO Box 9090
Waco, TX 76714-9090
Phone (254) 722-6660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162082501 | Medicaid | TX |
Other providers in Waco, TX
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- The Manacle Foundation Inc
- The Seton Cove
- Therapeutic Outreach Services Inc
- Therapy 4 You
- Therapy Lincs
- Therapy323
- Thi of Texas at Samaritan Hospice LLC
All providers in Waco, TX · Hearing and Speech Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.