| Organization Name: | CORNERSTONE SPEECH THERAPY, LLC |
| NPI Number: | 1366887382 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACIE SMITH (SPEECH-LANGUAGE PATHOLOGIST) |
| Mailing Address: | 1403 Autumnmist Dr Allen |
| State: | TX US |
| Postal Code: | 750024970 |
| Phone Number: | 2147638911 |
| Fax Number: | 8883537183 |
| NPI Enumeration Date: | 05/03/2013 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 100165 |
| 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 |