Doctor Name: | AMANDA COLBERT |
NPI Number: | 1134533995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 305 Ne Loop 820 Business Tower 1; Suite 200 Hurst, TX - 760537209 |
Business Phone Number: | 8172928787 |
Business Fax Number: | 8177896849 |
Mailing Address: | 5050 Capitol Ave, Apt 276 DALLAS |
State: | TX |
Postal Code: | 752066907 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/19/2014 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |