Emily Anderson

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

NPI 1912620501 · NPPES record last updated Sep 20, 2022

Key facts

NPI
1912620501
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
111461 (TX)
Practice address
605 S Main St
Euless, TX 76040-5354
Phone
(817) 399-3930
NPI assigned
Sep 20, 2022
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

State licenses

LicenseStateTypeSpecialty
111461TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 111461 TX Yes

Addresses

Primary practice location

605 S Main St
Euless, TX 76040-5354

Mailing address

1706 Windlea Dr
Euless, TX 76040-4017

Other providers in Euless, TX

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

Sources for this page

Verify at the official NPI Registry.