Individual
ALLY ANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
31141 NICHOLS SAWMILL RD, MAGNOLIA, TX 77355-6032
(713) 822-5980
Mailing address
25715 SIMBRAH DR, MAGNOLIA, TX 77355-4385
(530) 776-4903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119758
TX
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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