Doctor Name: | LAUREN SACHAR ROE |
NPI Number: | 1003022690 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 102326 |
Business Practice Address: | 5411 Basswood Blvd Suite 221 Fort Worth, TX - 761374477 |
Business Phone Number: | 8175146333 |
Business Fax Number: | 8175146334 |
Mailing Address: | 4344 Silverwood Trail, KELLER |
State: | TX |
Postal Code: | 76248 |
Phone Number: | 8175146333 |
Fax Number: | 8175146334 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 06/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |