Organization Name: | SPIRIT SPEECH SERVICES |
NPI Number: | 1942513171 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENIEDRA FIGURES JACKSON (SPEECH PATHOLOGIST) |
Mailing Address: | 2463 Somervell Trl Grand Prairie |
State: | TX US |
Postal Code: | 75052 |
Phone Number: | 8177989040 |
Fax Number: | 8173854550 |
NPI Enumeration Date: | 07/16/2010 |
NPI Last Update Date: | 07/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100910 |
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 |