Organization Name: | MOSAIC THERAPY PARTNERS |
NPI Number: | 1730598467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RASHAUN GASTON (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 2524 Jacobson Dr Lewisville |
State: | TX US |
Postal Code: | 750678200 |
Phone Number: | 4694643548 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 109977 |
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 |