De Leon, Beverly L

De Leon, Beverly L is an sole proprietor health care provider with primary practice located at 5316 Trail Lake Dr , Fort Worth TX 76133-1931. 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. De Leon, Beverly L can be contacted via phone (817) 292-8787.

Contact Information

Primary practice address
5316 Trail Lake Dr Fort Worth TX 76133-1931
Phone: (817) 292-8787
Fax: (817) 789-6849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 101230 Texas

Profile Details

NPI number 1790075265
LBN Legal business name De Leon, Beverly L
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2011
Last updated Apr 18th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790075265 NPPES
Texas MEDICAID 207164901
Texas MEDICAID 149984001

Popular Providers