| Spark Center Llc | |
|
291 S Preston Rd Ste 610, Prosper, TX 75078-1907 | |
| (469) 663-7112 | |
| Not Available |
| Full Name | Spark Center Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 291 S Preston Rd Ste 610, Prosper, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578316022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Center Llc 15758 Grove Crest Dr, Frisco, TX 75035-6822 Ph: (214) 228-8519 | Spark Center Llc 291 S Preston Rd Ste 610, Prosper, TX 75078-1907 Ph: (469) 663-7112 |
Bethany Erica Kimmey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th St, Prosper, TX 75078 Phone: 469-219-2000 | |
Cameron Ray, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th St, Prosper, TX 75078 Phone: 469-219-2000 | |
Courtney Leigh Kang, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1621 Thackery Ln, Prosper, TX 75078 Phone: 661-607-8134 | |
Caitlin Lane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th St, Prosper, TX 75078 Phone: 469-219-2000 | |
Kelly Jumper, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th St, Prosper, TX 75078 Phone: 469-213-2300 | |
Katie Stollings, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th St, Prosper, TX 75078 Phone: 469-219-2000 | |
Jenna Gangl, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 E 7th St, Prosper, TX 75078 Phone: 469-219-2000 |