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Organization
SPEECH CONNECTION
Active
Organization
SPEECH CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HAVENOR CCC/SLP (SPEECH PATHOLOGIST)
(214) 734-2717
Entity
Organization
Contact information
Practice address
101 N GREENVILLE AVE STE C, ALLEN, TX 75002-9117
(214) 734-2717
Mailing address
101 N GREENVILLE AVE STE C, ALLEN, TX 75002-9117
(214) 734-2717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17635
TX
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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