Provider Demographics
NPI:1568676641
Name:RICHARDSON SPEECH & LANGUAGE CLINIC INC
Entity Type:Organization
Organization Name:RICHARDSON SPEECH & LANGUAGE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR SPEECH LANGUAGE PATHOLOGIS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCSLP
Authorized Official - Phone:972-312-0870
Mailing Address - Street 1:3608 PRESTON ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-312-0870
Mailing Address - Fax:972-312-0913
Practice Address - Street 1:3608 PRESTON ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-312-0870
Practice Address - Fax:972-312-0913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech