Provider Demographics
NPI:1497021117
Name:COMKEY THERAPY
Entity Type:Organization
Organization Name:COMKEY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:972-271-6000
Mailing Address - Street 1:3200 BROADWAY BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1573
Mailing Address - Country:US
Mailing Address - Phone:972-271-6000
Mailing Address - Fax:888-755-0789
Practice Address - Street 1:3200 BROADWAY BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1573
Practice Address - Country:US
Practice Address - Phone:972-271-6000
Practice Address - Fax:888-755-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty