Doctor Name: | MS. STACY D. GANT |
NPI Number: | 1043493695 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED., CCC-SLP |
License Number: | 19427 |
Business Practice Address: | 1714 Redwing Ridge Dr Houston, TX - 770092478 |
Business Phone Number: | 7138589999 |
Business Fax Number: | 7138682763 |
Mailing Address: | 1714 Redwing Ridge Dr, HOUSTON |
State: | TX |
Postal Code: | 770092478 |
Phone Number: | 7138589999 |
Fax Number: | 7138682763 |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19427 |
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 |