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Organization
SPEECH PLUS
Active
Organization
SPEECH PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A. PETRILLO M.A. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(832) 577-4610
Entity
Organization
Contact information
Practice address
4413 CHESTNUT GRV, LEAGUE CITY, TX 77573-4533
(832) 577-4610
Mailing address
4413 CHESTNUT GRV, LEAGUE CITY, TX 77573-4533
(832) 577-4610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105266
TX
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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