Doctor Name: | MICHELLE STOBER |
NPI Number: | 1013113695 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 102353 |
Business Practice Address: | 1623 W New Hope Dr Cedar Park, TX - 786136018 |
Business Phone Number: | 5122593999 |
Business Fax Number: | |
Mailing Address: | 414 Rosedale Blvd, GEORGETOWN |
State: | TX |
Postal Code: | 786284675 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 05/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102353 |
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 |