National Provider Identifier Database

409 THERAPY SERVICES PLLC
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


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
* Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for 409 THERAPY SERVICES, PLLC

NPI Number 1972240166
Legal business name
LBN
409 THERAPY SERVICES, PLLC
Authorized official JESSICA PETTY - (OWNER / OPERATOR)
Entity Organization
Organization subpart No
Enumeration date 05/18/2022
Last updated 06/27/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 1457784167

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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