Individual
ANDREA MICHELLE BABINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 E FERGUSON ST, SUITE 1204, TYLER, TX 75702-5759
(903) 526-5709
Mailing address
100 E FERGUSON ST, SUITE 1204, TYLER, TX 75702-5759
(903) 526-5709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104684
TX
235Z00000X
Speech-Language Pathologist
7475
LA
235Z00000X
Speech-Language Pathologist
Primary
SA19843
FL
235Z00000X
Speech-Language Pathologist
SLP013230
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104684
STATE LICENSE
TX
Enumeration date
03/13/2014
Last updated
05/29/2025
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