Provider Demographics
NPI:1962081117
Name:WORLEY, NATALIE ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:WORLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:ELIZABETH
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4221 OLD DENTON RD APT 4105
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-2326
Mailing Address - Country:US
Mailing Address - Phone:214-783-4970
Mailing Address - Fax:
Practice Address - Street 1:5805 COIT RD STE 403
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6990
Practice Address - Country:US
Practice Address - Phone:972-964-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist