Doctor Name: | JANEL MARIE RIDLEHUBER |
NPI Number: | 1073717021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 24945 |
Business Practice Address: | 4613 Bee Cave Rd Ste 202 West Lake Hills, TX - 787465212 |
Business Phone Number: | 5123061707 |
Business Fax Number: | 5123067380 |
Mailing Address: | Po Box 162904, AUSTIN |
State: | TX |
Postal Code: | 787162904 |
Phone Number: | 5123061707 |
Fax Number: | 5133067380 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 06/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 24945 |
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 |