Jodie Huskerson

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

NPI 1982870895 · NPPES record last updated May 1, 2008

Key facts

NPI
1982870895
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
13638 (TX)
Practice address
410 Key St
Bronte, TX 76933
Phone
(325) 473-9678
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

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
13638TXMDOral and Maxillofacial Surgery (Dentist)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13638 TX Yes

Addresses

Primary practice location

410 Key St
Bronte, TX 76933

Mailing address

PO Box 623
Bronte, TX 76933-0623

Other providers in Bronte, TX

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

Sources for this page

Verify at the official NPI Registry.