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Organization
THE SPEECH ENRICHMENT CENTER, LP
Active
Organization
THE SPEECH ENRICHMENT CENTER, LP
Active
Other names
The Speech Enrichment Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOHNSON WHITE MA, CCC/SLP (SLP/CLINICAL DIRECTOR)
(281) 403-5437
Entity
Organization
Contact information
Practice address
3424 FM 1092 RD, SUITE 200, MISSOURI CITY, TX 77459-2285
(281) 403-5437
(281) 403-1002
Mailing address
6140 HIGHWAY 6 # 90, MISSOURI CITY, TX 77459-3802
(281) 403-5437
(281) 403-1002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109759
TX
235Z00000X
Speech-Language Pathologist
Primary
100073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162817401
—
TX
01
—
4858700
CIGNA PROVIDER NUMBER
TX
01
—
7694643
AETNA PROVIDER NUMBER
TX
01
—
87850T
BCBS (0080JN)
TX
Enumeration date
10/04/2006
Last updated
06/21/2018
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