Basic Information
| Provider Information | |||||||||
| NPI: | 1952595266 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE SPEECH AND LEARNING CENTER, L.L.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5819 HIGHWAY 6 | ||||||||
| Address2: | SUITE 360 | ||||||||
| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774594370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814032600 | ||||||||
| FaxNumber: | 2814032606 | ||||||||
| Practice Location | |||||||||
| Address1: | 5819 HIGHWAY 6 STE 360 | ||||||||
| Address2: | |||||||||
| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774594070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814032600 | ||||||||
| FaxNumber: | 2814032606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2007 | ||||||||
| LastUpdateDate: | 04/12/2018 | ||||||||
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| AuthorizedOfficialLastName: | LEYK | ||||||||
| AuthorizedOfficialFirstName: | STACY | ||||||||
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| AuthorizedOfficialTitleorPosition: | SLP, OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2814032600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.A., SLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 100385 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.