Doctor Name: | PEARLANNE WITKOWSKI |
NPI Number: | 1659567279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 101313 |
Business Practice Address: | 1145 Ross St Ste L San Benito, TX - 785864338 |
Business Phone Number: | 9563615800 |
Business Fax Number: | |
Mailing Address: | 499 N Dick Dowling St, SAN BENITO |
State: | TX |
Postal Code: | 785864623 |
Phone Number: | 9563615800 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 09/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101313 |
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 |