Doctor Name: | MRS. KIMBERLY L STOCKER |
NPI Number: | 1063551984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 18159 |
Business Practice Address: | 17045 El Camino Real Suite 106 Houston, TX - 77058 |
Business Phone Number: | 2814805648 |
Business Fax Number: | |
Mailing Address: | 934 Mystic Village Ln, SEABROOK |
State: | TX |
Postal Code: | 775862581 |
Phone Number: | 2812918431 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18159 |
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 |