Most Relevant Information
Provider Data
| NPI Number: | 1003529413 |
| Provider Name: | LAI YI JESSICA VONG M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 118231 |
Most Important Dates
| Enumeration Date: | 12/30/2022 |
| Last Updated: | 12/30/2022 |
Provider Practice Location
650 PARKER SQ
FLOWER MOUND
TX
750287427
Practice Location Phone/Fax
| Phone: | 2145130333 |
| Fax: |
Provider Mailing Location
650 PARKER SQ
FLOWER MOUND
TX
750287427
Provider Mailing Phone/Fax
| Phone: | 2145130333 |
| Fax: |