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Organization

ESSENTIAL TEXAS SPEECH THERAPY PLLC

Active
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Organization

ESSENTIAL TEXAS SPEECH THERAPY PLLC

Active
Other names
Texas Speech Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER LISTER MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(281) 969-7527
Entity
Organization

Contact information

Practice address
4502 RIVERSTONE BLVD, SUITE 701, MISSOURI CITY, TX 77459
(281) 969-7527
(281) 969-8711
Mailing address
4502 RIVERSTONE BLVD, SUITE 701, MISSOURI CITY, TX 77459-5204
(281) 969-7527
(281) 969-8711

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1289797
TX
225X00000X
Occupational Therapist
112083
TX
235Z00000X
Speech-Language Pathologist
109001
TX
235Z00000X
Speech-Language Pathologist
109208
TX
235Z00000X
Speech-Language Pathologist
Primary
109444
TX
235Z00000X
Speech-Language Pathologist
110471
TX
261QM1300X
Multi-Specialty Clinic/Center
—
TX

Other

Enumeration date
03/28/2017
Last updated
08/02/2018
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