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Organization
LONESTAR SPEECH THERAPY, PLLC
Active
Organization
LONESTAR SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSON DAWN REVES M.S., CCC-SLP (PRESIDENT/OWNER)
(817) 937-1522
Entity
Organization
Contact information
Practice address
10401 COUNTY ROAD 1016, BURLESON, TX 76028-7625
(817) 937-1522
(866) 606-8577
Mailing address
10401 COUNTY ROAD 1016, BURLESON, TX 76028-7625
(817) 937-1522
(866) 606-8577
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
101675
TX
Other
Enumeration date
07/02/2016
Last updated
07/02/2016
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