Doctor Name: | KRYSTA MARIE CHACON-HULCE |
NPI Number: | 1811247539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 108131 |
Business Practice Address: | 2990 Legacy Drive Frisco, TX - 75034 |
Business Phone Number: | 4698885172 |
Business Fax Number: | |
Mailing Address: | 7001 Parkwood Boulevard, Apt 3225 PLANO |
State: | TX |
Postal Code: | 75024 |
Phone Number: | 9155253402 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2012 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 108131 |
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 |