Doctor Name: | BIANCA HORTON |
NPI Number: | 1477691731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP -INTERN |
License Number: | 24894 |
Business Practice Address: | 4095 De Zavala Rd Shavano Park, TX - 782492066 |
Business Phone Number: | 2104938100 |
Business Fax Number: | 2104938154 |
Mailing Address: | 4095 De Zavala Rd, SHAVANO PARK |
State: | TX |
Postal Code: | 782492066 |
Phone Number: | 2104938100 |
Fax Number: | 2104938154 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 24894 |
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 |