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Organization
PUSH SPEECH SERVICES LLC
Active
Organization
PUSH SPEECH SERVICES LLC
Active
Other names
PUSH Pediatric Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA FONTENOT (OWNER)
(469) 458-7764
Entity
Organization
Contact information
Practice address
4961 LONG PRAIRIE RD STE 110, FLOWER MOUND, TX 75028-2794
(469) 458-7764
(972) 692-5656
Mailing address
4961 LONG PRAIRIE RD STE 110, FLOWER MOUND, TX 75028-2794
(469) 458-7764
(972) 692-5656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108320
TX
Other
Enumeration date
10/22/2015
Last updated
09/23/2020
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