Doctor Name: | AMBER CALLAHAN TULLOS |
NPI Number: | 1285957092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 6253 |
Business Practice Address: | 2646 Doe Ridge Dr Haughton, LA - 710379395 |
Business Phone Number: | 8702434851 |
Business Fax Number: | |
Mailing Address: | 2646 Doe Ridge Dr, HAUGHTON |
State: | LA |
Postal Code: | 710379395 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |