Individual
ANGELA JETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42111 FM 3159, CANYON LAKE, TX 78133-4948
(281) 687-0912
Mailing address
1634 TRAIL PASS DR, CANYON LAKE, TX 78133-4872
(281) 687-0912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101225
TX
Other
Enumeration date
04/23/2012
Last updated
12/17/2025
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