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Organization

SPEECH, LANGUAGE, & AUDITORY LEARNING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUZANNE COUCH HERMAN CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(903) 581-5421
Entity
Organization

Contact information

Practice address
2117 S FLEISHEL AVE, TYLER, TX 75701-4440
(903) 581-5421
(903) 581-4515
Mailing address
2117 S FLEISHEL AVE, TYLER, TX 75701-4440
(903) 581-5421
(903) 581-4515

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
11594
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005616001
TX
01
1497803688
NPI INDIVIDUAL
TX
01
1609080613
NPI GROUP DBA
TX
Enumeration date
12/30/2008
Last updated
02/03/2012
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