Individual
FELISA LOPEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
3103 STRONG AVE, FORT WORTH, TX 76105-3946
(817) 404-9462
Mailing address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(682) 738-3056
(682) 738-3272
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39814
TX
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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