MR. Otto Mazzoni III, M.S., CCC-SLP
NPI #1245725423 in Clarksville, Texas
Provider Information
- NPI Number
- 1245725423
- Entity Type
- Individual
- Name
- MR. Otto Mazzoni III, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Jun 29, 2018
- Last Updated
- Jun 29, 2018
Practice Location
- Address
- 2407 W MAIN ST # 82
- City
- Clarksville
- State
- Texas
- ZIP Code
- 75426-3327
- Phone
- (903) 427-3821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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