Doctor Name: | MRS. JULIA ANN UBBENGA |
NPI Number: | 1134483035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 107472 |
Business Practice Address: | 13333 Blanco Rd Ste. 302 San Antonio, TX - 782162138 |
Business Phone Number: | 2108837879 |
Business Fax Number: | 2104924588 |
Mailing Address: | 13333 Blanco Rd, Ste. 302 SAN ANTONIO |
State: | TX |
Postal Code: | 782162138 |
Phone Number: | 2108837879 |
Fax Number: | 2104924588 |
NPI Enumeration Date: | 06/26/2012 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107472 |
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 |