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Trystan Micah Hennessy
Speech-Language Assistant in Lubbock, Texas
NPI 1902679384

Trystan Micah Hennessy is a Speech-Language Assistant based in Lubbock, TX and is specialized in Speech-Language Assistant. Trystan Micah Hennessy practices in Lubbock, TX. The NPI Number for Trystan Micah Hennessy is 1902679384 and holds a License No. (Texas).

The current practice location address for Trystan Micah Hennessy is 6502 Slide Rd Ste 204, Lubbock, TX and can be reached out via phone at 806-686-0429.

Location: 6502 Slide Rd Ste 204, Lubbock, TX, 79414-1624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902679384
Provider Name
Trystan Micah Hennessy
Credential
Provider Entity Type
Individual
Gender
Female
Address
6502 Slide Rd Ste 204, Lubbock, TX, 79414-1624
Phone Number
806-686-0429
Fax Number
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6502 Slide Rd Ste 204
City
Lubbock
State
Texas
Zip
79424-1311
Phone Number
806-686-0429
Fax Number
person
Provider Business Mailing Address Details
Address
6502 Slide Rd Ste 204
City
Lubbock
State
Texas
Zip
79424-1311
Phone Number
806-686-0429
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
()
Definition
Definition to come...
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