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Organization
OUTGROW THERAPEUTICS
Active
Organization
OUTGROW THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTIE F KROL M.S., CCC, SLP, BCBA (OWNER, SPEECH-PATHOLOGIST, BCBA)
(845) 548-4043
Entity
Organization
Contact information
Practice address
721 DOROTHY ST, HOUSTON, TX 77007-1742
(845) 548-4043
Mailing address
721 DOROTHY ST, HOUSTON, TX 77007-1742
(845) 548-4043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114204
SPEECH LICENSE
TX
01
—
1932465986
NPI
—
01
—
3351
BACB
—
Enumeration date
10/19/2022
Last updated
10/19/2022
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