Individual provider · Type 1 NPI
Fallon Broussard Craig
Speech-Language Assistant · The Colony, TX
NPI number
1609698893
Active
Practice location
4609 Queen Cir
The Colony, TX 75056-3325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 44210 (TX) |
Speech-Language Assistant: Definition to come...
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About NPI 1609698893
Fallon Broussard Craig's National Provider Identifier is 1609698893, issued on Oct 29, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in The Colony, TX. The record was last updated on Oct 29, 2024.