Provider Demographics
NPI:1083261952
Name:SPEECH SWALLOWING AND NEUROLOGICAL REHABILITATION PLLC
Entity Type:Organization
Organization Name:SPEECH SWALLOWING AND NEUROLOGICAL REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:MEREDITH
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:408-506-1356
Mailing Address - Street 1:7282 CROSSWATER STE 100
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0659
Mailing Address - Country:US
Mailing Address - Phone:903-871-5712
Mailing Address - Fax:903-309-1035
Practice Address - Street 1:7282 CROSSWATER STE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0659
Practice Address - Country:US
Practice Address - Phone:903-871-5712
Practice Address - Fax:903-309-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-24
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty