Doctor Name: | MS. BEVERLY ANN ST. ONGE |
NPI Number: | 1538370747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 102901 |
Business Practice Address: | 3560 Alma Rd Apt. 1325 Richardson, TX - 750801100 |
Business Phone Number: | 8609429160 |
Business Fax Number: | |
Mailing Address: | 3560 Alma Rd, Apt. 1325 RICHARDSON |
State: | TX |
Postal Code: | 750801100 |
Phone Number: | 8609429160 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102901 |
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 |