Doctor Name: | MS. HILLARY R GOTHAM |
NPI Number: | 1730462029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 107301 |
Business Practice Address: | 5313 Decker Dr Baytown, TX - 775201413 |
Business Phone Number: | 2818384477 |
Business Fax Number: | |
Mailing Address: | 601 Enterprise Ave, Apt. 936 LEAGUE CITY |
State: | TX |
Postal Code: | 775732911 |
Phone Number: | 2819329607 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 107301 |
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 |