Doctor Name: | MARY KATHRYN STAMP |
NPI Number: | 1154448066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 13371 |
Business Practice Address: | 19965 Fm 3175 North Lytle, TX - 78052 |
Business Phone Number: | 2103570369 |
Business Fax Number: | 2103570458 |
Mailing Address: | Po Box 725, LYTLE |
State: | TX |
Postal Code: | 780520725 |
Phone Number: | 2103570369 |
Fax Number: | 2103570458 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13371 |
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 |