| Organization Name: | EDUCATION SERVICE CENTER |
| NPI Number: | 1245548452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMA BRADLEY (BILLING SPECIALIST) |
| Mailing Address: | 612 S Irene St San Angelo |
| State: | TX US |
| Postal Code: | 769036629 |
| Phone Number: | 3256583271 |
| Fax Number: | 3256530036 |
| NPI Enumeration Date: | 09/22/2010 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 104463 |
| 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 |