Organization
SPEECH WINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY WILLIS M.S., CCC-SLP (CHIEF EXECUTIVE OFFICER)
(214) 864-3013
Entity
Organization
Contact information
Practice address
3130 N SHILOH RD, GARLAND, TX 75044-8014
(214) 864-3013
Mailing address
PO BOX 961, WYLIE, TX 75098-0961
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
108758
TX
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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