Divine Speech Therapy Services Pllc

NPI #1093534323 in Mansfield, Texas

Provider Information

NPI Number
1093534323
Entity Type
Organization
Organization Name
Divine Speech Therapy Services Pllc
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Oct 3, 2024
Last Updated
Oct 17, 2024

Practice Location

Address
5010 LAKE PARK DR
State
Texas
ZIP Code
76063-6826
Phone
(254) 432-1221

Authorized Official

Name
LATIFAH ALEXANDER, M.S., CCC-SLP
Title
CEO/OWNER
Phone
(254) 432-1221

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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