Individual
ANNALISA PEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3940 BENT ELM LN, FORT WORTH, TX 76109-2009
(254) 717-9078
Mailing address
3940 BENT ELM LN, FORT WORTH, TX 76109-2009
(254) 717-9078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106052
TX
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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