Heidi Leigh Branham

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

NPI 1801550546 · NPPES record last updated Oct 28, 2021

Key facts

NPI
1801550546
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
100380 (TX)
Practice address
402 W 6TH St
Monahans, TX 79756-4536
Phone
(432) 943-3504
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
100380TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monahans-Wickett-Pyote Isd Past
since Oct 31, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100380 TX Yes

Addresses

Primary practice location

402 W 6TH St
Monahans, TX 79756-4536

Mailing address

1608 S Franklin Ave
Monahans, TX 79756-6718

Other providers in Monahans, TX

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

Sources for this page

Verify at the official NPI Registry.