Doctor Name: | DAVE ANDERS |
NPI Number: | 1043488968 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 01294 |
Business Practice Address: | 715 Sw Ankeny Rd Ankeny, IA - 500239798 |
Business Phone Number: | 5159651339 |
Business Fax Number: | 5159640567 |
Mailing Address: | 715 Sw Ankeny Rd, ANKENY |
State: | IA |
Postal Code: | 500239798 |
Phone Number: | 5159651339 |
Fax Number: | 5159640567 |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |