Doctor Name: | REBECCA STEWART |
NPI Number: | 1194896696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSLP |
License Number: | 100393 |
Business Practice Address: | 102 E Grand Plz Grand Saline, TX - 751401932 |
Business Phone Number: | 9039627901 |
Business Fax Number: | 9039623082 |
Mailing Address: | 709 Fair Laine, TYLER |
State: | TX |
Postal Code: | 75701 |
Phone Number: | 9039627901 |
Fax Number: | 9039623082 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100393 |
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 |