Doctor Name: | MS. ANNE PINKENBURG |
NPI Number: | 1356755946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 105471 |
Business Practice Address: | 6850 Manhattan Blvd Ste 204 Ft Worth, TX - 761201210 |
Business Phone Number: | 8172071500 |
Business Fax Number: | 8175070702 |
Mailing Address: | 5624 Fursman Ave, FT WORTH |
State: | TX |
Postal Code: | 761144512 |
Phone Number: | 8172053842 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105471 |
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 |