Provider Demographics
NPI:1598976706
Name:PRIMARY SPEECH & LANGUAGE SERVICES
Entity Type:Organization
Organization Name:PRIMARY SPEECH & LANGUAGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS-SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:915-592-8084
Mailing Address - Street 1:14470 HORIZON BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-8554
Mailing Address - Country:US
Mailing Address - Phone:915-592-8084
Mailing Address - Fax:915-592-8357
Practice Address - Street 1:14470 HORIZON BLVD STE J
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-8554
Practice Address - Country:US
Practice Address - Phone:915-592-8084
Practice Address - Fax:915-592-8357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17256235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty