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Contact Information

409 THERAPY SERVICES, PLLC
139 PRIVATE ROAD 5396
KIRBYVILLE, TX75956-3235
 Phone: 409-449-5498
 Fax: 409-449-6079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for 409 THERAPY SERVICES PLLC · (Female)

NPI # 1972240166
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2022
Last updated 06/27/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 1457784167
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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