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Organization

CAPITAL AREA SPEECH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN WEBER M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(512) 331-4115
Entity
Organization

Contact information

Practice address
12010 RESEARCH BOULEVARD, SUITE 395, AUSTIN, TX 78759-4397
(512) 331-4115
Mailing address
12010 RESEARCH BLVD, SUITE 395, AUSTIN, TX 78759
(512) 331-4115

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
105409
TX

Other

Enumeration date
08/16/2011
Last updated
08/16/2011
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