Theradat, LLC

NPI #1801009733 in Waco, Texas

Provider Information

NPI Number
1801009733
Entity Type
Organization
Organization Name
Theradat, LLC
Primary Specialty
Clinic/Center - Hearing and Speech
Enumeration Date
May 7, 2007
Last Updated
Aug 13, 2008

Practice Location

Address
7545 BOSQUE BLVD
City
Waco
State
Texas
ZIP Code
76712-3713
Phone
(254) 722-6660

Authorized Official

Name
PAULA ANDREA NALL, M.S., CCC-SLP
Title
SPEECH LANGUAGE PATHOLOGIST
Phone
(254) 722-6660

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Hearing and SpeechHearing and Speech

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