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Organization
PEDIATRIC THERAPY ASSOCIATES-SPEECH, PLLC
Active
Organization
PEDIATRIC THERAPY ASSOCIATES-SPEECH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE B HEATH CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(361) 853-0488
Entity
Organization
Contact information
Practice address
1001 LOUISIANA AVE STE 402, CORPUS CHRISTI, TX 78404-2856
(361) 853-0488
(361) 853-0489
Mailing address
1001 LOUISIANA AVE STE 402, CORPUS CHRISTI, TX 78404-2856
(361) 853-0488
(361) 853-0489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363270501
—
TX
Enumeration date
01/02/2020
Last updated
01/02/2020
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