Doctor Name: | MS. STEPHANIE ADELA ALTY |
NPI Number: | 1295938694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,OCC-SLP |
License Number: | 103172 |
Business Practice Address: | 4206 Retama Cir Victoria, TX - 779012765 |
Business Phone Number: | 3615820611 |
Business Fax Number: | 3615824978 |
Mailing Address: | 194 Allen M Parks Dr, ROCKPORT |
State: | TX |
Postal Code: | 783829564 |
Phone Number: | 3615820611 |
Fax Number: | 3615824978 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 103172 |
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 |