Doctor Name: | MRS. REBECCA L THORLEY |
NPI Number: | 1336395938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.CCC-SLP |
License Number: | 102613 |
Business Practice Address: | 230 Spring Hill Dr Suite 305 Spring, TX - 773862381 |
Business Phone Number: | 2812922050 |
Business Fax Number: | |
Mailing Address: | 30210 Mesa Valley Dr, SPRING |
State: | TX |
Postal Code: | 773863192 |
Phone Number: | 2814195153 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102613 |
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 |