Doctor Name: | MR. ALAN DALE GIVENS |
NPI Number: | 1679584833 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. CCC-SLP/AUD |
License Number: | 11247 |
Business Practice Address: | 1211 Hawaii Ave Alamogordo, NM - 883106437 |
Business Phone Number: | 5758126000 |
Business Fax Number: | |
Mailing Address: | Po Box 2461, ALAMOGORDO |
State: | NM |
Postal Code: | 883112461 |
Phone Number: | 5054918898 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 02/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11247 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |