Doctor Name: | MISS JANA R'DEAN THOMASSON |
NPI Number: | 1114228822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERAPIST |
License Number: | 13838 |
Business Practice Address: | 400 W 14th Ave Amarillo, TX - 791014140 |
Business Phone Number: | 8065701910 |
Business Fax Number: | |
Mailing Address: | 2203 S Harrison St, AMARILLO |
State: | TX |
Postal Code: | 791092626 |
Phone Number: | 8065701910 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2010 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13838 |
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 |