Ward, Tally Marie
Ward, Tally Marie is an individual health care provider with primary practice located at 200 N I 35 Ste C , Red Oak TX 75154-4241. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ward, Tally Marie can be contacted via phone (469) 917-0805.Contact Information
Primary practice address
200 N I 35 Ste C
Red Oak TX 75154-4241
Phone: (469) 917-0805
Fax: (469) 917-0799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 106232 | Texas |
Profile Details
| NPI number | 1801034053 |
|---|---|
| LBN Legal business name | Ward, Tally Marie |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2009 |
| Last updated | Jun 11th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801034053 | NPPES |
| Texas | MEDICAID | 286230202 |
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