Mary Kay Giesecke MS-CCC-SLP

NPI 1003293150 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1003293150
Gender Female
Enumeration Date 04/28/2015
Last Updated 04/28/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3205 CORNELL AVE
DALLAS TX, 75205-2933, US
Phone (214) 505-5041
Fax (214) 522-9777
Business Location
3205 CORNELL AVE
DALLAS TX, 75205-2933, US
Phone (214) 505-5041
Fax (214) 522-9777
Toxanomy
Taxonomy Code 235Z00000X
License State Texas
License Number 12740
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According to our database, Mrs. Mary Kay Giesecke MS-CCC-SLP NPI is 1003293150, taxonomy code is 235Z00000X and license number is 12740, license state is located at Texas. Mary Kay Giesecke MS-CCC-SLP physically located at 3205 Cornell Ave, Dallas TX, 75205-2933. NPI Number Mary Kay Giesecke MS-CCC-SLP has the Individual type.

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1003293150 NPI number is provided on an as is basis without warranty of any kind. 1003293150 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Kay Giesecke MS-CCC-SLP are for informational purposes only.