Neeley Anderson
Individual provider Active NPI Speech-Language Pathologist · Texarkana, TX
NPI 1962855015 · NPPES record last updated Mar 14, 2018
Key facts
- NPI
- 1962855015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 113353 (TX)
- Practice address
- 4824 McKnight Rd
Texarkana, TX 75503-0935 - Phone
- (903) 793-6135
- Fax
- (903) 793-0053
- NPI assigned
- Jul 13, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113353 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 113353 | TX | Yes |
Addresses
Primary practice location
4824 McKnight Rd
Texarkana, TX 75503-0935
Mailing address
4824 McKnight Rd
Texarkana, TX 75503-0935
Phone (903) 793-6135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113353 | Other | TX | SPEECH LANGUAGE PATHOLOGIST LICENSE |
Other providers in Texarkana, TX
- Ameripath Texarkana 501a Corporation
- Samuel Osei Amoasi
- Gregg D Anderson
- Kurt Michael Anderson
- Mikala Brooke Anderson
- Patricio Manuel Andres
- Andrew S. Curry, D.D.S., Inc
- Anesthesia and Intensive Care
- Anesthesiology Associates of Texarkana PA
- Anew Case Management Group
All providers in Texarkana, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2018. 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.