Provider Demographics
NPI:1427105733
Name:UNIVERSITY OF NORTH TEXAS SPEECH & HEARING CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF NORTH TEXAS SPEECH & HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-SLP
Authorized Official - Phone:940-369-7339
Mailing Address - Street 1:PO BOX 305010
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76203-5010
Mailing Address - Country:US
Mailing Address - Phone:940-565-2262
Mailing Address - Fax:940-369-7702
Practice Address - Street 1:907 W SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4049
Practice Address - Country:US
Practice Address - Phone:940-565-2262
Practice Address - Fax:940-369-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T07YOtherBLUE CROSS BLUE SHIELD
TX00T07YMedicare ID - Type Unspecified