Provider Demographics
NPI:1598339277
Name:DOBBS, PEYTON RUTH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:PEYTON
Middle Name:RUTH
Last Name:DOBBS
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 1:3720 MARIGOLD LN
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-1521
Mailing Address - Country:US
Mailing Address - Phone:972-971-1311
Mailing Address - Fax:
Practice Address - Street 1:1206 BENT OAKS CT STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8033
Practice Address - Country:US
Practice Address - Phone:940-387-2939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116703235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist