Doctor Name: | MRS. MIEKKA ESTELLE THYE |
NPI Number: | 1104060060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | 16001 |
Business Practice Address: | 4830 South Fwy Fort Worth, TX - 761153901 |
Business Phone Number: | 8179263330 |
Business Fax Number: | 8179265303 |
Mailing Address: | 3305 Hazlewood Ct, BEDFORD |
State: | TX |
Postal Code: | 760212957 |
Phone Number: | 8173089058 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2009 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16001 |
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 |