Doctor Name: | MRS. ANITA STACKHOUSE |
NPI Number: | 1215158720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 15035 |
Business Practice Address: | 1630 S. Brownlee Corpus Christi, TX - 78404 |
Business Phone Number: | 3619809652 |
Business Fax Number: | 3619809652 |
Mailing Address: | 14621 Spid # O7, CORPUS CHRISTI |
State: | TX |
Postal Code: | 78418 |
Phone Number: | 3612152505 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15035 |
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 |