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Organization

ALISA PREWITT AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALISA PREWITT M.A. (OWNER)
(281) 392-8173
Entity
Organization

Contact information

Practice address
24044 CINCO VILLAGE CENTER BLVD, STE 100, KATY, TX 77494-8432
(281) 392-8173
(281) 392-8239
Mailing address
22507 MOSSY TRAILS CT, KATY, TX 77494-2255
(281) 392-8173
(281) 392-8239

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100951
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160513102
TX
Enumeration date
02/05/2014
Last updated
02/05/2014
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