Flourish Speech Therapy
Speech-Language Pathologist, in Midland, TX. Organization (NPI-2).
NPI number1114644580
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1114644580
- Entity type
- Organization (NPI-2)
- Legal business name
- Flourish Speech Therapy
- Organization subpart
- No
- Enumeration date
- Oct 25, 2022
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3401 Greenbriar Ste 100Midland, TX 79707-4653
Phone 432-363-5422 · Fax 432-216-5329
Mailing address
3501 Crestmont DrMidland, TX 79707-4203
Phone 806-543-1677 · Fax 432-216-5329
Authorized official
Rebecca Fonseca
Speech Pathologist
8065431677
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