Doctor Name: | DEBORAH SKOTAK |
NPI Number: | 1013245992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 14549 |
Business Practice Address: | 1009 N Georgetown St Round Rock, TX - 786643289 |
Business Phone Number: | 5122551720 |
Business Fax Number: | 5122448403 |
Mailing Address: | 1009 N Georgetown St, ROUND ROCK |
State: | TX |
Postal Code: | 786643289 |
Phone Number: | 5122551720 |
Fax Number: | 5122448403 |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 14549 |
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 |