Organization
BROOKE WYATT SPEECH PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WYATT (SPEECH LANGUAGE PATHOLOGIST)
(501) 590-5940
Entity
Organization
Contact information
Practice address
1123 CHESTNUT DR, FRISCO, TX 75034-3932
(501) 590-5940
Mailing address
1123 CHESTNUT DR, FRISCO, TX 75034-3932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104353
TX
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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