Individual
MRS. SARA MORGAN TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPA
Contact information
Practice address
2500 W WILLIAM CANNON DR STE 704, AUSTIN, TX 78745-5257
(512) 887-2126
Mailing address
2500 W WILLIAM CANNON DR # 704, AUSTIN, TX 78745-5257
(512) 887-2126
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
41072
TX
2355S0801X
Speech-Language Assistant
Primary
4297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14357642
AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
41072
TEXAS DEPARTMENT OF LICENCING AND REGULATION
TX
01
—
SPA4297
SLPAHADB
CA
Enumeration date
04/10/2017
Last updated
09/17/2021
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