Doctor Name: | MS. SHANNON R RABY |
NPI Number: | 1043433279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH PATHOLOGIST M |
License Number: | 102510 |
Business Practice Address: | 1966 Inwood Rd Dallas, TX - 752357298 |
Business Phone Number: | 2149053010 |
Business Fax Number: | 2149053022 |
Mailing Address: | 1966 Inwood Rd, DALLAS |
State: | TX |
Postal Code: | 752357298 |
Phone Number: | 2149053010 |
Fax Number: | 2149053022 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102510 |
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 |