Doctor Name: | BETSY ANN HATHERILL |
NPI Number: | 1083611891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-A |
License Number: | 50601 |
Business Practice Address: | 26222 Ranch Rd 12 Dripping Springs, TX - 786204903 |
Business Phone Number: | 5128580300 |
Business Fax Number: | 5128582714 |
Mailing Address: | 6199 Central City Blvd, Suite 122 GALVESTON |
State: | TX |
Postal Code: | 775513818 |
Phone Number: | 4097655500 |
Fax Number: | 4097448508 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2500X |
License Number: | 50601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Supplier |
Taxonomy Definition: |