| Light Of Mine Speech Therapy, Pllc | |
|
17844 Mound Rd Ste A, Cypress, TX 77433-4838 | |
| (346) 812-7959 | |
| Not Available |
| Full Name | Light Of Mine Speech Therapy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 17844 Mound Rd Ste A, Cypress, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720732126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Angelica Adame |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710659362 PECOS PAC ID: 0244627016 Enrollment ID: I20220426000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Light Of Mine Speech Therapy, Pllc Po Box 162, Waller, TX 77484-0162 Ph: (346) 812-7959 | Light Of Mine Speech Therapy, Pllc 17844 Mound Rd Ste A, Cypress, TX 77433-4838 Ph: (346) 812-7959 |
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