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ANDREA JENNYS SUSTACHE MEDINA NPI 1770222028


NPI Information

NPI: 1770222028
Provider Name: ANDREA JENNYS SUSTACHE MEDINA
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
3813 PERIWINKLE DR
FORT WORTH, TX
ZIP 76137
Phone: (787) 983-4456
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Andrea Jennys Sustache Medina is a speech language pathologist in Fort Worth, 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. Andrea Jennys Sustache Medina NPI is 1770222028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3813 PERIWINKLE DR
FORT WORTH, TX
ZIP 76137-046
Phone: (787) 983-4456

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/2/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist117625TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1659249401MEDICAIDTEXAS

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: 4/28/2024

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