Organization
BRAZOS VALLEY SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY NEISCH CCC-SLP (OWNER)
(979) 429-3754
Entity
Organization
Contact information
Practice address
1645 GREENS PRAIRIE RD W STE 401A, COLLEGE STATION, TX 77845-8414
(979) 429-3754
Mailing address
9304 WESLAYAN CT, COLLEGE STATION, TX 77845-8790
(979) 429-3754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
06/27/2024
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