Organization Name: | A THERATEAM INC |
NPI Number: | 1801095849 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA BETH VANEK (PRESIDENT / SPEECH LANGUAGE PATH.) |
Mailing Address: | 3600 Fm 1488 Rd Ste. 120 Conroe |
State: | TX US |
Postal Code: | 773843817 |
Phone Number: | 9363213837 |
Fax Number: | 9362733838 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102495 |
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 |