Doctor Name: | MRS. NOELLE PAULK MCNEIL |
NPI Number: | 1124262852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 103753 |
Business Practice Address: | 12710 Research Blvd Suite 395 Austin, TX - 787594379 |
Business Phone Number: | 5123314115 |
Business Fax Number: | |
Mailing Address: | 10301 Ranch Road 2222, Apt. 1528 AUSTIN |
State: | TX |
Postal Code: | 787301200 |
Phone Number: | 5125765621 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2009 |
NPI Last Update Date: | 04/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 103753 |
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 |