Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Otto Mazzoni III, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1245725423

Mr. Otto Mazzoni III, MS, CCC-SLP is a Speech-Language Pathologist in Clarksville, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2407 W Main St # 82
Clarksville, TX 75426-3327
Phone: (903) 427-3821
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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 111590 (TX)

Record details

NPI number1245725423
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESJune 29, 2018

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