Organization Name: | DREAMCATCHER SPEECH AND LANGUAGE LLC |
NPI Number: | 1780080341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA CAROL STATEN (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 146 Yocona Ridge Rd Oxford |
State: | MS US |
Postal Code: | 386556904 |
Phone Number: | 6629349885 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S2354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |