Organization
CANNON SPEECH SERVICES LLC
Active
Parent organization
CANNON SPEECH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANNON SPEECH SERVICES LLC
Authorized official
STACEY CANNON M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(830) 315-6400
Entity
Organization
Contact information
Practice address
327 EARL GARRETT ST STE 108, KERRVILLE, TX 78028-4500
(830) 315-6400
Mailing address
PO BOX 643, INGRAM, TX 78025-0643
(214) 354-5201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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