Doctor Name: | MRS. SHARA RENEE DE LOS SANTOS |
NPI Number: | 1003141177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 104470 |
Business Practice Address: | 1020 Central Pkwy S San Antonio, TX - 782325021 |
Business Phone Number: | 1210798227 |
Business Fax Number: | |
Mailing Address: | 2034 Daylight Crst, SAN ANTONIO |
State: | TX |
Postal Code: | 782305927 |
Phone Number: | 9562861174 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2009 |
NPI Last Update Date: | 10/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104470 |
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 |