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Organization
IMPACTFUL SPEECH THERAPY PLLC
Active
Organization
IMPACTFUL SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHATONYA N PICKENS MED (SPEECH LANGUAGE PATHOLOGIST)
(817) 201-1013
Entity
Organization
Contact information
Practice address
7537 SWEET MEADOWS DR, FORT WORTH, TX 76123-1970
(817) 423-4270
Mailing address
7537 SWEET MEADOWS DR, FORT WORTH, TX 76123-1970
(817) 423-4270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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