Doctor Name: | MRS. TERESA RENAE ANDERLE |
NPI Number: | 1710145107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.C.C. / SLP |
License Number: | 15474 |
Business Practice Address: | 113 Village Estates Dr Highland Village, TX - 750777118 |
Business Phone Number: | 4692223598 |
Business Fax Number: | |
Mailing Address: | 113 Village Estates Dr, HIGHLAND VILLAGE |
State: | TX |
Postal Code: | 750777118 |
Phone Number: | 4692223598 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15474 |
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 |