Individual
ANGELA LYN NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2425 E SOUTHLAKE BLVD, #100, SOUTHLAKE, TX 76092-6674
(817) 442-0222
(817) 442-0223
Mailing address
2425 E SOUTHLAKE BLVD, #100, SOUTHLAKE, TX 76092-6674
(817) 442-0222
(817) 442-0223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104403
TX
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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