Doctor Name: | MRS. LYDIA P RICHARDSON |
NPI Number: | 1659589919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 102053 |
Business Practice Address: | 404 County Road 769 Nacogdoches, TX - 759641651 |
Business Phone Number: | 9365524500 |
Business Fax Number: | |
Mailing Address: | 404 County Road 769, NACOGDOCHES |
State: | TX |
Postal Code: | 759641651 |
Phone Number: | 9365524500 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102053 |
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 |