Provider Demographics
NPI:1275317380
Name:OFF SCRIPT SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:OFF SCRIPT SPEECH THERAPY PLLC
Other - Org Name:OFF SCRIPT SPEECH THERAPY PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:LENAY
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:214-885-7027
Mailing Address - Street 1:213 N MURPHY RD STE 600
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3548
Mailing Address - Country:US
Mailing Address - Phone:214-885-7027
Mailing Address - Fax:
Practice Address - Street 1:213 N MURPHY RD STE 600
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3548
Practice Address - Country:US
Practice Address - Phone:214-885-7027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty