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MAGNOLIA SPEECH AND LANGUAGE THERAPY PLLC NPI 1023777505


NPI Information

NPI: 1023777505
Provider Name: MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 45D2226748

Address:
4120 TIN TAQEL PATH
PFLUGERVILLE, TX
ZIP 78660
Phone: (845) 926-2525
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MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC is a speech language pathologist in Pflugerville, TX. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MAGNOLIA SPEECH AND LANGUAGE THERAPY, PLLC NPI is 1023777505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4120 TIN TAQEL PATH
PFLUGERVILLE, TX
ZIP 78660-851
Phone: (845) 926-2525

The provider's authorized official is Megan Martin .
The authorized official title is Owner, Speech Language Pathologist and has the following contact phone number (512) 883-0504.

The CLIA number assigned to this NPI record is 45D2226748 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11982112363MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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