Provider Demographics
NPI:1861130049
Name:PARTIN, FRAN D (LICENSED SLP, TX)
Entity type:Individual
Prefix:
First Name:FRAN
Middle Name:D
Last Name:PARTIN
Suffix:
Gender:F
Credentials:LICENSED SLP, TX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5348 OLD JACKSONVILLE HWY APT 1503
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3369
Mailing Address - Country:US
Mailing Address - Phone:936-554-5416
Mailing Address - Fax:
Practice Address - Street 1:12800 SH 64E
Practice Address - Street 2:CHAPEL HILL ISD, KISSAM INTERMEDIATE SCHOOL
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75707-7570
Practice Address - Country:US
Practice Address - Phone:903-566-8334
Practice Address - Fax:903-565-5195
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13752235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist