Individual
COREY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
11155 WHITEY FORD ST, EL PASO, TX 79934-3209
(915) 236-5075
Mailing address
11155 WHITEY FORD ST, EL PASO, TX 79934-3209
(915) 236-5705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113104
TX
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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