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OLIVE BRANCH AUTISM CLINIC AND THERAPY SERVICES LLC NPI 1285136622


NPI Information

NPI: 1285136622
Provider Name: OLIVE BRANCH AUTISM CLINIC AND THERAPY SERVICES LLC

Doing Business As: OLIVE BRANCH THERAPY

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
2526 KINSGATE FOREST DR
KATY, TX
ZIP 77494
Phone: (832) 557-0579
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OLIVE BRANCH AUTISM CLINIC AND THERAPY SERVICES LLC is a hearing and speech clinic center in Katy, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. OLIVE BRANCH AUTISM CLINIC AND THERAPY SERVICES LLC NPI is 1285136622. The provider is registered as an organization entity type.
The provider Is Doing Business As Olive Branch Therapy.

The provider's business location address is:

2526 KINSGATE FOREST DR
KATY, TX
ZIP 77494-898
Phone: (832) 557-0579
Fax: (832) 553-7719

The provider's authorized official is Shawna Marie Nickerson .
The authorized official title is Speech Language Pathologist and has the following contact phone number (770) 630-6753.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 3/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and Speech108185TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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