IndividualActive
Jodi Trast
NPI 1689321598 · Speech-Language Pathologist · Fate, TX
Provider details
- NPI number
- 1689321598
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 108909 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
310 Williamsburg Parkway
Fate, TX 75132
Phone: (469) 698-2870
Approximate (ZIP-level) locationGet directions
Mailing address
615 Lowry Dr
Fate, TX 75087-8606
Registry dates
- Enumerated
- 2022-03-10
- Last updated
- 2022-03-10
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.