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Organization
VIVID SPEECH THERAPY PLLC
Active
Organization
VIVID SPEECH THERAPY PLLC
Active
Other names
Vivid Speech
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BUBA (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(512) 400-4171
Entity
Organization
Contact information
Practice address
3006 BEE CAVES RD STE A-216, AUSTIN, TX 78746-5588
(512) 400-4171
(512) 400-4171
Mailing address
3006 BEE CAVES RD STE A-216, AUSTIN, TX 78746-5588
(512) 400-4171
(512) 400-4171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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