Doctor Name: | ELIZABETH C RODRIGUEZ |
NPI Number: | 1023113198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 19877 |
Business Practice Address: | 32443 Waterford Crest Ln Fulshear, TX - 774413003 |
Business Phone Number: | 8325633225 |
Business Fax Number: | 2813468090 |
Mailing Address: | 32443 Waterford Crest Ln, FULSHEAR |
State: | TX |
Postal Code: | 774413003 |
Phone Number: | 8325633225 |
Fax Number: | 2813468090 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19877 |
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 |