Colby Prichard, SLP-CCC
Speech-Language Pathologist, in San Antonio, TX. Individual provider (NPI-1).
NPI number1023891736
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1023891736
- Entity type
- Individual (NPI-1)
- Name
- Colby Prichard
- Credential
- SLP-CCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 114906 | TX | Yes |
Practice location
5300 KnollcreekSan Antonio, TX 78247-5858
Phone 210-356-4100
Mailing address
13715 Oak PebbleSan Antonio, TX 78232-5419
Phone 615-420-0769
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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