| Organization Name: | SPARKSPEECH TX, LLC |
| NPI Number: | 1588041339 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTIN N MINSHALL (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 1930 E Rosemeade Pkwy Suite 207 Carrollton |
| State: | TX US |
| Postal Code: | 750072473 |
| Phone Number: | 9729550068 |
| Fax Number: | 9726958844 |
| NPI Enumeration Date: | 04/30/2015 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 105188 |
| 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 |