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2831 Eldorado Pkwy #103-307 Frisco TX 75033-7438 | |
| (469) 296-8337 | |
| (972) 947-3975 |
| Full Name | |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 2831 Eldorado Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Natalie Suzzann Sedgwick (CEO/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 4692968337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2831 Eldorado Pkwy #103-307 Frisco TX 75033-7438 Ph: (469) 296-8337 | 2831 Eldorado Pkwy #103-307 Frisco TX 75033-7438 Ph: (469) 296-8337 |
| NPI Number | 1285973875 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285973875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 56469 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | 104092 (Texas) | Primary |
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