Provider Demographics
NPI:1992453963
Name:BLUEBELL SPEECH AND LANGUAGE SERVICES PLLC
Entity type:Organization
Organization Name:BLUEBELL SPEECH AND LANGUAGE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MHSC, CCC-SLP
Authorized Official - Phone:903-767-8315
Mailing Address - Street 1:4770 FORGET ME NOT RD
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-6130
Mailing Address - Country:US
Mailing Address - Phone:903-767-8315
Mailing Address - Fax:
Practice Address - Street 1:4770 FORGET ME NOT RD
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75644-6130
Practice Address - Country:US
Practice Address - Phone:903-767-8315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech