| Organization Name: | STAR LIGHT SPEECH THERAPY SERVICES |
| NPI Number: | 1922341213 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDDWADO PERKIN (OWNER) |
| Mailing Address: | 1308 Matthew Dr Mesquite |
| State: | TX US |
| Postal Code: | 751497700 |
| Phone Number: | 7736408340 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2013 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 105956 |
| 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 |