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Organization

SPEECHLOGIC PLLC

Active
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Organization

SPEECHLOGIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH YVONNE GOMEZ MS, CCC-SLP (PRESIDENT AND CEO)
(915) 929-5972
Entity
Organization

Contact information

Practice address
3200 MCKINNEY AVE, DALLAS, TX 75204-2519
(915) 929-5972
Mailing address
PO BOX 962416, EL PASO, TX 79996-2416
(940) 290-0389

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H000MO2801
BLUE CROSS BLUE SHIELD
TX
01
—
H08QH04601
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/29/2021
Last updated
12/29/2021
About Stedi
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