Doctor Name: | KARA D'ALISE |
NPI Number: | 1245621044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 106055 |
Business Practice Address: | 4709 19th St Lubbock, TX - 794072303 |
Business Phone Number: | 8067737789 |
Business Fax Number: | |
Mailing Address: | 4709 19th St, LUBBOCK |
State: | TX |
Postal Code: | 794072303 |
Phone Number: | 8067737789 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2015 |
NPI Last Update Date: | 02/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106055 |
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 |