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Organization
UTLEY SPEECH THERAPY, PLLC
Active
Organization
UTLEY SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA ANN UTLEY-RODRIGUEZ MS, CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(361) 945-4401
Entity
Organization
Contact information
Practice address
11906 KUDU ST, SAN ANTONIO, TX 78253-5842
(361) 945-4401
Mailing address
PO BOX 1342, CASTROVILLE, TX 78009-1342
(210) 570-7272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114048
TEXAS DEPARTMENT OF REGULATORY SERVICES
TX
01
—
14157997
(ASHA) AMERICAN SPEECH-LANGUAGE /HEARING ASSOCIATION
—
01
—
15589133
CAQH
—
Enumeration date
01/30/2023
Last updated
04/01/2023
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