Provider Demographics
NPI:1689211849
Name:EH SPEECH THERAPY, PLLC
Entity type:Organization
Organization Name:EH SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:214-494-4677
Mailing Address - Street 1:10050 LEGACY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-6740
Mailing Address - Country:US
Mailing Address - Phone:214-494-4677
Mailing Address - Fax:469-579-4090
Practice Address - Street 1:10050 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6740
Practice Address - Country:US
Practice Address - Phone:214-494-4677
Practice Address - Fax:469-579-4090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENVISION HOPE PEDIATRIC THERAPY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12959838644OtherEIN 1
TX1033255088OtherNPI 1