Doctor Name: | MOLLY NAADEN |
NPI Number: | 1003156480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | 108609 |
Business Practice Address: | 302 E 24th St Bryan, TX - 778035303 |
Business Phone Number: | 9798226467 |
Business Fax Number: | 9798219448 |
Mailing Address: | Po Box 4588, BRYAN |
State: | TX |
Postal Code: | 778054588 |
Phone Number: | 9798226467 |
Fax Number: | 9798219448 |
NPI Enumeration Date: | 02/22/2013 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 108609 |
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 |