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Organization
MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC
Active
Organization
MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MARTIN CCC-SLP (OWNER, SPEECH LANGUAGE PATHOLOGIST)
(512) 883-0504
Entity
Organization
Contact information
Practice address
4120 TIN TAQEL PATH, PFLUGERVILLE, TX 78660-4851
(845) 926-2525
Mailing address
4120 TIN TAQEL PATH, PFLUGERVILLE, TX 78660-4851
(845) 926-2525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982112363
—
NC
Enumeration date
12/13/2021
Last updated
12/13/2021
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