Doctor Name: | LISA REOPELLE |
NPI Number: | 1124468228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 19355 |
Business Practice Address: | 7333 Barlite Blvd Ste 250 San Antonio, TX - 782241320 |
Business Phone Number: | 2109243040 |
Business Fax Number: | 2109243889 |
Mailing Address: | 7333 Barlite Blvd, Ste 250 SAN ANTONIO |
State: | TX |
Postal Code: | 782241320 |
Phone Number: | 2109243040 |
Fax Number: | 2109243889 |
NPI Enumeration Date: | 07/03/2013 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19355 |
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 |