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Organization
SPEECH PATHOLOGY SERVICES PLLC
Active
Organization
SPEECH PATHOLOGY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA R FOUNTAIN MS CCC-SLP (OWNER)
(903) 826-7380
Entity
Organization
Contact information
Practice address
1409 OVERLOOK DR, KAUFMAN, TX 75142-3818
(903) 826-7380
(214) 889-9580
Mailing address
1409 OVERLOOK DR, KAUFMAN, TX 75142-3818
(903) 826-7380
(214) 889-9580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166896742
—
AR
01
—
5F705
BCBS AR
AR
01
—
729180
UNITED HEALTHCARE
TX
Enumeration date
02/01/2008
Last updated
02/11/2025
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