Doctor Name: | CORRIE J DYSON |
NPI Number: | 1780705459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 101100 |
Business Practice Address: | 2201 Menard Hwy Brady, TX - 768257432 |
Business Phone Number: | 3255971580 |
Business Fax Number: | 3255971580 |
Mailing Address: | 110 W. College Avenue, MASON |
State: | TX |
Postal Code: | 76856 |
Phone Number: | 2145009365 |
Fax Number: | 3255971580 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101100 |
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 |