Doctor Name: | JEAN GARRETT |
NPI Number: | 1104929652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC |
License Number: | 10740 |
Business Practice Address: | 12700 Hillcrest Rd Suite 258 Dallas, TX - 75230 |
Business Phone Number: | 9724580459 |
Business Fax Number: | 9727029509 |
Mailing Address: | 12700 Hillcrest Rd, Suite 258 DALLAS |
State: | TX |
Postal Code: | 75230 |
Phone Number: | 9724580459 |
Fax Number: | 9727029509 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10740 |
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 |