Individual provider · Type 1 NPI

Trystan Micah Hennessy

Speech-Language Assistant · Lubbock, TX

NPI number 1902679384 Active

Practice location

6502 Slide Rd Ste 204
Lubbock, TX 79424-1311

Call (806) 686-0429 Map

Mailing address

5509 50th St Apt 1205
Lubbock, TX 79414-1624

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XNone listed

Speech-Language Assistant: Definition to come...

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About NPI 1902679384

Trystan Micah Hennessy's National Provider Identifier is 1902679384, issued on Nov 6, 2023. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Lubbock, TX. The record was last updated on Nov 6, 2023.