Individual
JESSICA BETRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14673 MIDWAY RD STE 1-111, ADDISON, TX 75001-3171
(972) 851-1022
Mailing address
14673 MIDWAY RD STE 1-111, ADDISON, TX 75001-3171
(972) 851-1022
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8177732413
—
TX
Enumeration date
11/21/2022
Last updated
11/22/2022
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