Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Dean Lush

Individual provider Speech-Language Pathologist · NPI 1790657799

Ethan Dean Lush is a Speech-Language Pathologist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

1202 E Sonterra Blvd Bldg 6
San Antonio, TX 78258-4089
Phone: (210) 891-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 124511 (TX)

Record details

NPI number1790657799
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address4092 Tpc Pkwy Apt 436, San Antonio, TX 78261-2922

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