Individual
AMBER RENAE HALSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1960 BEDFORD RD, BEDFORD, TX 76021-5722
(817) 283-4771
Mailing address
3406 MAPLEDALE DR, FARMERS BRANCH, TX 75234-6633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109024
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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