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Contact Information

LACY G PETTY, SLP
600 S TYLER ST.
CHASE TOWER #805
AMARILLO, TX79101
 Phone: 806-553-7780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for LACY G PETTY · (Female)

NPI # 1619850633
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 07/28/2025
Last updated 07/28/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 123604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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