Doctor Name: | STACEY RUTH STEWART |
NPI Number: | 1700057072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18458 |
Business Practice Address: | 481 W Harwood Rd Hurst, TX - 760542943 |
Business Phone Number: | 8172827250 |
Business Fax Number: | 8172827251 |
Mailing Address: | 8948 Glendara Dr, NORTH RICHLAND HILLS |
State: | TX |
Postal Code: | 761802534 |
Phone Number: | 8172827250 |
Fax Number: | 8172827251 |
NPI Enumeration Date: | 03/14/2008 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18458 |
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 |