Organization · NPI-2

Boomtown Therapy LLC

Speech-Language Pathologist, · Conroe, TX

NPI number1083435515
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1083435515
Entity type
Organization (NPI-2)
Legal business name
Boomtown Therapy LLC
Organization subpart
No
Enumeration date
Oct 17, 2024
Certification date
Oct 17, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Other names

  • Boomtown Therapy (Doing Business As)

Practice location

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212

Phone 832-371-7883

Mailing address

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212

Phone 832-371-7883

Authorized official

Megan Zigler
Company Owner, Founder
8323717883

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