Willow Tree Therapy Group, PLLC
Speech-Language Pathologist, in Allen, TX. Organization (NPI-2).
NPI number1609623248
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1609623248
- Entity type
- Organization (NPI-2)
- Legal business name
- Willow Tree Therapy Group, PLLC
- Organization subpart
- No
- Enumeration date
- May 1, 2024
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1100 Blackenhurst LnAllen, TX 75002-3933
Phone 214-585-8144
Mailing address
812 W McDermott Dr # 1314Allen, TX 75013-6500
Phone 214-585-8144
Authorized official
Meagon Broussard Glass
Speech-Language Pathologist
2145858144
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