Provider Demographics
NPI:1013255876
Name:WEESPEAK THERAPY, PLLC
Entity Type:Organization
Organization Name:WEESPEAK THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:N
Authorized Official - Last Name:REECE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:469-951-0001
Mailing Address - Street 1:1401 LACEWING DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2826
Mailing Address - Country:US
Mailing Address - Phone:469-951-0001
Mailing Address - Fax:877-640-8505
Practice Address - Street 1:1401 LACEWING DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2826
Practice Address - Country:US
Practice Address - Phone:469-951-0001
Practice Address - Fax:877-640-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100917235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty