Individual
BRITTANY UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E FM 495, SAN JUAN, TX 78589-4679
(956) 283-5499
(956) 283-5310
Mailing address
2411 W WISCONSIN RD, EDINBURG, TX 78539-9677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27-4556309
—
TX
Enumeration date
10/15/2018
Last updated
09/17/2019
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