Doctor Name: | EMILY BAUCOM |
NPI Number: | 1366825051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 110049 |
Business Practice Address: | 210 W Windcrest St Fredericksburg, TX - 786244408 |
Business Phone Number: | 8309977422 |
Business Fax Number: | |
Mailing Address: | 1701 Legacy Dr, FRISCO |
State: | TX |
Postal Code: | 750345987 |
Phone Number: | 8669307088 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 110049 |
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 |