Provider Demographics
NPI:1134903164
Name:SPRING SPEECH THERAPY, PLLC
Entity type:Organization
Organization Name:SPRING SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOLINARO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:346-347-3775
Mailing Address - Street 1:20212 CHAMPION FOREST DR
Mailing Address - Street 2:SUITE 700, UNIT 376
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8783
Mailing Address - Country:US
Mailing Address - Phone:346-347-3775
Mailing Address - Fax:346-347-3875
Practice Address - Street 1:8900 EASTLOCH DRIVE
Practice Address - Street 2:BUILDING 135, SUITE O
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2337
Practice Address - Country:US
Practice Address - Phone:346-347-3775
Practice Address - Fax:346-347-3875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty