Individual provider · Type 1 NPI

Mia Fontenot, MS, CCC-SLP

Speech-Language Pathologist · Dallas, TX

NPI number 1508452335 Active

Practice location

8550 Cadenza Ln
Dallas, TX 75228-4923

Mailing address

9615 Greensprint Dr
Dallas, TX 75238-1855

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X116334 (TX)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1508452335

Mia Fontenot, MS, CCC-SLP's National Provider Identifier is 1508452335, issued on Dec 16, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dallas, TX. The record was last updated on Dec 16, 2020.