Doctor Name: | AUDREY THERESA DINEIRO |
NPI Number: | 1598001422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | |
Business Practice Address: | 1010 W Jasper Dr Killeen, TX - 765421331 |
Business Phone Number: | 2547817397 |
Business Fax Number: | |
Mailing Address: | 1010 W Jasper Dr, KILLEEN |
State: | TX |
Postal Code: | 765421331 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/20/2012 |
NPI Last Update Date: | 12/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |