Doctor Name: | MRS. TERESA M DINGEE |
NPI Number: | 1568651800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP5632 |
Business Practice Address: | 8766 East Hwy 69 Humboldt Unified School District 22 Donna Thaxton Prescott Valley, AZ - 86314 |
Business Phone Number: | 9287594028 |
Business Fax Number: | 9287594030 |
Mailing Address: | 8766 E Hwy 69, Humboldt Unified School District 22 Donna Thaxton PRESCOTT VALLEY |
State: | AZ |
Postal Code: | 86314 |
Phone Number: | 9287594042 |
Fax Number: | 9287594030 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |