IndividualActive
Alicia Fortunato, M.S. CCC-SLP
NPI 1184234353 · Speech-Language Pathologist · Keller, TX
Provider details
- NPI number
- 1184234353
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 116738 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1652 Keller Parkway
Ste 100
Keller, TX 76248-3876
Phone: (817) 562-3111
Fax: (817) 562-3114
Approximate (ZIP-level) locationGet directions
Mailing address
1652 Keller Parkway
Keller, TX 76248-3876
Registry dates
- Enumerated
- 2020-08-03
- Last updated
- 2021-09-16
- Certified
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.