Individual ProviderAmber KonvickaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1905 Leary Ln, Victoria, TX 77901-2899(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Amber Konvicka does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124884259Provider TypeIndividualFull NameKonvicka, AmberCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date2/26/2024Last Updated2/26/2024Contact InformationPractice LocationPractice Address1905 Leary Ln, Victoria, TX 77901-2899Phone(361) 573-0731Fax(361) 573-1594Mailing LocationMailing Address1905 Leary Ln, Victoria, TX 77901-2899Phone(361) 573-0731Fax(361) 573-1594Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense120796Texas