Andrea Jennys Sustache Medina
Andrea Jennys Sustache Medina is a Speech-Language Pathologist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
3813 Periwinkle DrFort Worth, TX 76137-6046
Phone: (787) 983-4456
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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 117625 (TX) |
|---|
Record details
| NPI number | 1770222028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 2, 2022 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | June 2, 2022 |
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