Organization
BRAZOSPORT SPEECH PATHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DANETTE HOLT MS, CCC-SLP (OWNER)
(979) 480-0333
Entity
Organization
Contact information
Practice address
460 PLANTATION DRIVE, LAKE JACKSON, TX 77566
(979) 480-0333
(979) 480-0316
Mailing address
460 PLANTATION DRIVE, LAKE JACKSON, TX 77566
(979) 480-0333
(979) 480-0316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16308
TX
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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