Organization
WONDERFULLY MADE SPEECH AND LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNEN DOROTHEA UTLEY MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(832) 663-7541
Entity
Organization
Contact information
Practice address
12345 JONES RD, SUITE 215, HOUSTON, TX 77070-4855
(832) 663-7541
(832) 717-2808
Mailing address
12345 JONES RD, SUITE 215, HOUSTON, TX 77070-4855
(832) 663-7541
(832) 717-2808
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
102409
TX
Other
Enumeration date
04/02/2012
Last updated
09/25/2015
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