Provider Demographics
NPI:1407045347
Name:COMPREHENSIVE TESTING & THERAPY CENTER
Entity type:Organization
Organization Name:COMPREHENSIVE TESTING & THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP - CCC
Authorized Official - Phone:972-355-2984
Mailing Address - Street 1:2250 MORRISS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3244
Mailing Address - Country:US
Mailing Address - Phone:972-355-2984
Mailing Address - Fax:972-539-2932
Practice Address - Street 1:2250 MORRISS RD STE 204
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-3244
Practice Address - Country:US
Practice Address - Phone:972-355-2984
Practice Address - Fax:972-539-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15163235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty