| Outgrow Therapeutics | |
|
721 Dorothy St Houston TX 77007-1742 | |
| (845) 548-4043 | |
| Not Available |
| Full Name | Outgrow Therapeutics |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 721 Dorothy St, Houston, Texas |
| Authorized Official Name and Position | Martie F Krol (OWNER, SPEECH-PATHOLOGIST, BCBA) |
| Authorized Official Contact | 8455484043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outgrow Therapeutics 721 Dorothy St Houston TX 77007-1742 Ph: (845) 548-4043 | Outgrow Therapeutics 721 Dorothy St Houston TX 77007-1742 Ph: (845) 548-4043 |
| NPI Number | 1689390718 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689390718 | NPI | - | NPPES |
| 114204 | Other | TX | SPEECH LICENSE |
| 1932465986 | Other | NPI | |
| 3351 | Other | BACB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
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