Individual provider · NPI-1

Lacey Paulett Anderson

Speech-Language Pathologist, · Burleson, TX

NPI number1275019671
StatusActive
Last updated in NPPESMay 28, 2019

Details

NPI
1275019671
Entity type
Individual (NPI-1)
Name
Lacey Paulett Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 18, 2018
Last updated
May 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,112807TXYes

Practice location

1101 Whispering Spring Ct
Burleson, TX 76028

Phone 817-944-4710

Mailing address

1101 Whispering Spring Ct
Burleson, TX 76028-1059

Phone 817-944-4710

Other practice locations

212 Nw Lorna St Ste 103
Burleson, TX 76028-4110

Phone 817-888-8454 · Fax 817-887-2222

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