Doctor Name: | MS. NIKI LYNN LAND |
NPI Number: | 1023136421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 100223 |
Business Practice Address: | 2011 W Koenig Ln Austin, TX - 787561131 |
Business Phone Number: | 5124677006 |
Business Fax Number: | 5124677025 |
Mailing Address: | 5701 Avenue C, AUSTIN |
State: | TX |
Postal Code: | 787524501 |
Phone Number: | 5125764326 |
Fax Number: | 5124200425 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100223 |
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 |