Doctor Name: | MRS. NANCY LEE THOMAS |
NPI Number: | 1033346937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP1582 |
Business Practice Address: | 5480 Marengo Ave La Mesa, CA - 919422408 |
Business Phone Number: | 6194636445 |
Business Fax Number: | |
Mailing Address: | 15511 Casa Club Dr, BAKERSFIELD |
State: | CA |
Postal Code: | 933069557 |
Phone Number: | 6618714417 |
Fax Number: | 6618714417 |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |