Organization Name: | FUSION SPEECH THERAPY SERVICES PLLC |
NPI Number: | 1023484466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARISSA PECINA (OWNER/ADMIN/SLP) |
Mailing Address: | 2717 Fairmont Ave Mcallen |
State: | TX US |
Postal Code: | 785046498 |
Phone Number: | 9564634949 |
Fax Number: | 9565870245 |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |