Individual
AVERY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E ROYAL LN STE 112, IRVING, TX 75039-3511
(972) 490-9055
Mailing address
400 E ROYAL LN STE 112, IRVING, TX 75039-3511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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