| Doctor Name: | MRS. SANDRA SUE WATERS |
| NPI Number: | 1023360153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 13440 |
| Business Practice Address: | 16835 Deer Creek Dr Suite 120 Spring, TX - 773794968 |
| Business Phone Number: | 2813794373 |
| Business Fax Number: | 2816550762 |
| Mailing Address: | 21110 Timber Ridge Dr, MAGNOLIA |
| State: | TX |
| Postal Code: | 773554976 |
| Phone Number: | 2812590963 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2012 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 13440 |
| 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 |