Provider Demographics
NPI:1508586330
Name:RICHTER, TESS TARRILLION (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TESS
Middle Name:TARRILLION
Last Name:RICHTER
Suffix:
Gender:F
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 1:3030 HESTER AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3651
Mailing Address - Country:US
Mailing Address - Phone:210-296-9363
Mailing Address - Fax:
Practice Address - Street 1:1401 HIGHEDGE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7520
Practice Address - Country:US
Practice Address - Phone:469-752-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist