Individual
AMITA KOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/SLP
Contact information
Practice address
510 S BIRMINGHAM ST, WYLIE, TX 75098-4200
(917) 551-0100
Mailing address
476 TABLEROCK DRIVE, MURPHY, TX 75094-3705
(917) 551-0100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111770
TX
Other
Enumeration date
07/10/2007
Last updated
09/21/2022
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