Doctor Name: | AILEEN TORRES |
NPI Number: | 1598140089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2014011093 |
Business Practice Address: | 1120 W Holt Ave Harrison, AR - 726012612 |
Business Phone Number: | 8707415821 |
Business Fax Number: | |
Mailing Address: | 363 Santa Fe Ave, BRANSON |
State: | MO |
Postal Code: | 656168939 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/25/2015 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2014011093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |