Doctor Name: | TERRI L SUTPHIN |
NPI Number: | 1013365717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC/SLP |
License Number: | 18310 |
Business Practice Address: | 1001 Louisiana Ave. , Ste #402 Corpus Christi, TX - 78404 |
Business Phone Number: | 3618530488 |
Business Fax Number: | |
Mailing Address: | 1001 Louisiana Ave Ste 402, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784042856 |
Phone Number: | 3618530488 |
Fax Number: | 3618530489 |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18310 |
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 |