Doctor Name: | LYNN K GLOVER |
NPI Number: | 1073937058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 108443 |
Business Practice Address: | 16990 Dallas Parkway Suite 255 Dallas, TX - 752481997 |
Business Phone Number: | 9723425119 |
Business Fax Number: | 9724070213 |
Mailing Address: | 16990 Dallas Parkway, Suite 255 DALLAS |
State: | TX |
Postal Code: | 752481997 |
Phone Number: | 9723425119 |
Fax Number: | 9724070213 |
NPI Enumeration Date: | 02/11/2014 |
NPI Last Update Date: | 04/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 108443 |
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 |