Doctor Name: | MRS. VICTORIA MARIA FLEMING SEVERNS |
NPI Number: | 1326015439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 15569 |
Business Practice Address: | 4763 Barwick Dr Overton Speech And Language Center Fort Worth, TX - 761321531 |
Business Phone Number: | 8172948408 |
Business Fax Number: | 8172948411 |
Mailing Address: | 2613 Sylvanglen St, BURLESON |
State: | TX |
Postal Code: | 760282221 |
Phone Number: | 8174470313 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15569 |
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 |