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Organization
LIFE SPEECH PATHOLOGY, PLLC
Active
Organization
LIFE SPEECH PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE RICHARDSON MS, CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(805) 551-9958
Entity
Organization
Contact information
Practice address
1600 KEMP HILLS DR, AUSTIN, TX 78737-8859
(512) 553-4364
Mailing address
1600 KEMP HILLS DR, AUSTIN, TX 78737-8859
(512) 553-4364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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