Speech Divas
Speech Divas is a Speech-Language Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
4229 Periwinkle DrFort Worth, TX 76137-3013
Phone: (469) 834-5742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 19126 (TX) |
|---|---|
| Speech-Language Assistant | Taxonomy 2355S0801X · Licence 33891 (TX) |
Record details
| NPI number | 1467713750 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathy Park — Speech-Language Pathologist · (817) 371-3353 |
| NPI enumerated | June 3, 2012 |
| Last updated in NPPES | June 3, 2012 |
| Mailing address | 4229 Periwinkle Dr, Fort Worth, TX 76137-3013 |
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