Most Relevant Information
Provider Data
| NPI Number: | 1003293150 |
| Provider Name: | MARY KAY GIESECKE MS-CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12740 |
Most Important Dates
| Enumeration Date: | 04/28/2015 |
| Last Updated: | 04/28/2015 |
Provider Practice Location
3205 CORNELL AVE
DALLAS
TX
752052933
Practice Location Phone/Fax
| Phone: | 2145055041 |
| Fax: | 2145229777 |
Provider Mailing Location
3205 CORNELL AVE
DALLAS
TX
752052933
Provider Mailing Phone/Fax
| Phone: | 2145055041 |
| Fax: | 2145229777 |