Doctor Name: | WILLIAM HALSTEAD |
NPI Number: | 1306263017 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | TSLP8112 |
Business Practice Address: | 1303 W Juniper Ave Apt 3022 Gilbert, AZ - 852334146 |
Business Phone Number: | 5209900558 |
Business Fax Number: | |
Mailing Address: | 1303 W Juniper Ave Apt 3022, GILBERT |
State: | AZ |
Postal Code: | 852334146 |
Phone Number: | 5209900558 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2014 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP8112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |