Provider Demographics
NPI:1427666247
Name:FARFALLA THERAPY PLLC
Entity type:Organization
Organization Name:FARFALLA THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYEEN
Authorized Official - Middle Name:I
Authorized Official - Last Name:GARCIA HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:701-203-1060
Mailing Address - Street 1:940 W FM 544 UNIT 413
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3218
Mailing Address - Country:US
Mailing Address - Phone:214-789-7721
Mailing Address - Fax:
Practice Address - Street 1:940 W FM 544 UNIT 413
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3218
Practice Address - Country:US
Practice Address - Phone:214-789-7721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty