Doctor Name: | MS. AMY NEBRAT |
NPI Number: | 1033325360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 17654 |
Business Practice Address: | 1717 W 10th St Austin, TX - 787033907 |
Business Phone Number: | 5124723142 |
Business Fax Number: | 5124724008 |
Mailing Address: | 1430 Collier St, AUSTIN |
State: | TX |
Postal Code: | 787042911 |
Phone Number: | 5124457787 |
Fax Number: | 5124404059 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 17654 |
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 |