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1841763117
RYAN HENEISEN
AUSTIN, TX
NPI
1841763117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: 114050)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
RYAN HENEISEN M.A CCC-SLP
4607 MANCHACA RD
AUSTIN, TX 78745-1607
Phone number: 512-916-1511
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Mailing Address
RYAN HENEISEN M.A CCC-SLP
4607 MANCHACA RD
AUSTIN, TX 78745-1607
Phone number: 512-916-1511
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