Provider Demographics
NPI:1144437609
Name:MASSEY, ANNE MARIE (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:MASSEY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 MADERA WAY
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620
Mailing Address - Country:US
Mailing Address - Phone:925-325-4820
Mailing Address - Fax:
Practice Address - Street 1:3322 RANCH ROAD 620 S
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-6804
Practice Address - Country:US
Practice Address - Phone:512-533-6460
Practice Address - Fax:512-533-6469
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103139235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist