Doctor Name: | BEVERLY JOLENE SEABOURN |
NPI Number: | 1053420224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 12340 |
Business Practice Address: | 1108 Abbots Ln Denton, TX - 762058049 |
Business Phone Number: | 9403822736 |
Business Fax Number: | 9403821317 |
Mailing Address: | 1108 Abbots Ln, DENTON |
State: | TX |
Postal Code: | 762058049 |
Phone Number: | 9403822736 |
Fax Number: | 9403821317 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12340 |
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 |