Doctor Name: | MS. LETICIA LAURA DULA |
NPI Number: | 1023106564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC / SLP |
License Number: | 101127 |
Business Practice Address: | 501 N Spur 63 Suite # B3 Longview, TX - 756015013 |
Business Phone Number: | 9036639946 |
Business Fax Number: | 9036635580 |
Mailing Address: | 501 N Spur 63, Suite # B3 LONGVIEW |
State: | TX |
Postal Code: | 756015013 |
Phone Number: | 9036639946 |
Fax Number: | 9036635580 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101127 |
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 |