ETHAN DEAN LUSH
NPI 1790657799
Speech-Language Pathologist in San Antonio, TX

Active since September 19, 2025
1202 E SONTERRA BLVD BLDG 6, SAN ANTONIO, TX 78258(210) 891-0800 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Ethan Dean Lush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN DEAN LUSH (NPI 1790657799) is an individual speech-language pathologist provider in San Antonio, Texas, licensed in Texas (124511) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1790657799
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameETHAN DEAN LUSH
Location Address1202 E SONTERRA BLVD BLDG 6San Antonio, TX 78258-4089
Mailing Address4092 Tpc Pkwy Apt 436San Antonio, TX 78261-2922
Sole ProprietorNo
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1790657799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in TX · 124511
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1202 E SONTERRA BLVD BLDG 6, San Antonio, TX 78258

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1202 E SONTERRA BLVD BLDG 6
SAN ANTONIO, TX 78258
Behavior Technician
1202 E SONTERRA BLVD BLDG 6
SAN ANTONIO, TX 78258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Lush's NPI number?

The NPI number for Ethan Lush is 1790657799. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Ethan Lush located?

Ethan Lush practices at 1202 E Sonterra Blvd Bldg 6, San Antonio, TX 78258. The listed phone number is (210) 891-0800.

What is Ethan Lush's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Ethan Lush was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.