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Individual

EPIPHANY HODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP-A

Contact information

Practice address
5555 N LAMAR BLVD STE E, AUSTIN, TX 78751-1073
(214) 736-8376
Mailing address
11370 BULL HEAD LN, ROANOKE, TX 76262-1909

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
TX
2355S0801X
Speech-Language Assistant
Primary
42469
TX

Other

Enumeration date
05/24/2022
Last updated
07/25/2025
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