Provider Demographics
NPI:1003182247
Name:SPEED, DARREN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:SPEED
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6309 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-0827
Mailing Address - Country:US
Mailing Address - Phone:817-422-1413
Mailing Address - Fax:817-656-5933
Practice Address - Street 1:6309 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-0827
Practice Address - Country:US
Practice Address - Phone:817-422-1413
Practice Address - Fax:817-656-5933
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102366235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist